Aman K Grewal, D.D.S.,M.D.S.,B.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D10809 Issued in OR

Practice address

637 Hickory St NW Ste 110
Albany, OR 97321-1761

Phone

(541) 406-3500

NPI assigned

Jul 14, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• Dr. Aman K Flynn Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Hickory St LLC

  • General Practice Dentistry
  • Albany, OR
  • NPI 1245860345
  NPD

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

{
    "created_epoch": "1247529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1861621641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "637 HICKORY ST NW STE 110",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973211761",
            "telephone_number": "541-406-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 HICKORY ST NW STE 110",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973211761",
            "telephone_number": "541-406-3500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14251 E 6th Ave",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800118706",
            "country_code": "US",
            "telephone_number": "303-343-3133",
            "fax_number": "303-343-3139",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1112 NW Circle Blvd",
            "address_purpose": "LOCATION",
            "city": "Corvallis",
            "state": "OR",
            "postal_code": "973301462",
            "country_code": "US",
            "telephone_number": "541-257-2006",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "530 NW 27th St",
            "address_purpose": "LOCATION",
            "city": "Corvallis",
            "state": "OR",
            "postal_code": "97330",
            "country_code": "US",
            "telephone_number": "541-766-6835",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREWAL",
        "first_name": "AMAN",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "D.D.S.,M.D.S.,B.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-14",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019028052",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D10809",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "DEN-10325",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130509300",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861621641",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "82673551",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMAN",
            "last_name": "FLYNN",
            "middle_name": "K",
            "prefix": "DR.",
            "credential": "D.D.S.,M.D.S.,B.D.S.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Paul Michael Greaves, MD
• Alysia Greco
• Marion Elizabeth Gregor, MSW, LCSW
• Ember Gren
• Debra Lynn Grenz, BS
• Grice Investments Inc
• Colin D Grice, D.C.
• Ronald Grice, DC
• Chad Michael Grieve, OTA/L
• Carmen Griffith

• General Practice Dentistry in Albany, OR
• Providers in Albany, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; 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.