Organization Active NPI

Tanner B. Gregory, D.D.S.,P.L.L.C.

  • Dental Clinic/Center
  • Austin, TX
National Provider Identifier
1790445872
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
TANNER B. GREGORY, D.D.S.,P.L.L.C.
Practice address
3600 N Capital of Texas Hwy Ste A220
Austin, TX 78746-3409
Phone
(512) 900-9697
NPI assigned
Dec 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kim Wideman
Title
Office Manager
Phone
(806) 632-7964

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

3600 N Capital of Texas Hwy Ste A220
Austin, TX 78746-3409

Mailing address

3600 N Capital of Texas Hwy Ste A220
Austin, TX 78746-3409
Phone (512) 900-9697

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kim@gregorydentistry.com Direct

National Provider Directory

National Provider Directory

Locations

3600 N Capital of Texas Hwy
Ste A220
Austin, TX 78746
Phone (512) 900-9697

3302 64th St
Ste B
Lubbock, TX 79413
Phone (806) 792-4889

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1640822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785974400000",
    "number": "1790445872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 N CAPITAL OF TEXAS HWY STE A220",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787463409",
            "telephone_number": "512-900-9697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 N CAPITAL OF TEXAS HWY STE A220",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787463409",
            "telephone_number": "512-900-9697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANNER B. GREGORY, D.D.S.,P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-30",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A",
        "authorized_official_last_name": "WIDEMAN",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "806-632-7964"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kim@gregorydentistry.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3600 N Capital Of Texas Hwy Ste A220",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787463409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.