Gregory John Norell, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7925 Issued in WA

Practice address

2201 East Edison Ave
Ste 2
Sunnyside, WA 98944

Phone

(509) 837-3090

Fax

(509) 837-3414

NPI assigned

Jan 2, 2007

Last updated

Sep 14, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sunnyside Community Hospital Association

  dba Astria Sunnyside Hospital

  • Critical Access Hospital
  • Sunnyside, WA
  • NPI 1225033814
  Medicare reassignment NPD
• SHC Medical Center Toppenish

  dba Astria Toppenish Hospital

  • General Acute Care Hospital
  • Toppenish, WA
  • NPI 1851817308
  Medicare reassignment
• Sunnyside Community Hospital Association

  dba Astria Health Center

  • Rural Health Clinic/Center
  • Sunnyside, WA
  • NPI 1679521637
  Medicare reassignment
• Spavinawdental

  • Dental Clinic/Center
  • Sunnyside, WA
  • NPI 1841518859
  Authorized official Same address or phone
• Sunnyside Community Hospital Association

  dba Central Washington Occupational Medicine - Toppenish

  • Occupational Medicine Clinic/Center
  • Toppenish, WA
  • NPI 1134648546
  NPD
• Sunnyside Community Hospital Association

  dba Astria Health Center

  • Rural Health Clinic/Center
  • Sunnyside, WA
  • NPI 1407289184
  NPD
• Sunnyside Community Hospital Association

  dba Astria Health Center

  • Clinic/Center
  • Yakima, WA
  • NPI 1609395060
  NPD

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347580800000",
    "number": "1861559866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 EAST EDISON AVE",
            "address_2": "STE 2",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "98944",
            "telephone_number": "509-837-3090",
            "fax_number": "509-837-3414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 EAST EDISON AVE",
            "address_2": "STE 2",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "98944",
            "telephone_number": "509-837-3090",
            "fax_number": "509-837-3414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORELL",
        "first_name": "GREGORY",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2012-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "7925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5034491",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Navjot S Khurana DMD, PS (Radiant Smiles)
• Anne Marguerite Nealen, M.D.
• Richard Loren Nelson, R PH
• Tyrell P Nielson, PA-C
• Jakdej Nikomborirak, M.D.
• Rebecca Norem
• Penelope O'Brien, LMP
• Paul O'Neal
• Adrian B Obuch, M.D.
• Valentine O Okochi, FNP

• General Practice Dentistry in Sunnyside, WA
• Providers in Sunnyside, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.