Gregory R McAllister, DDS, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

1837 Issued in NM

Legal business name

GREGORY R MCALLISTER, DDS, LLC

Practice address

5910 Cubero Dr NE Ste B
Albuquerque, NM 87109-3868

Phone

(505) 243-7655

NPI assigned

Sep 4, 2015

Organization subpart

No

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

Authorized official

Name

Sonjia Mace

Title

Office Manager

Phone

(505) 243-7655

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1441324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441324800000",
    "number": "1871961045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5910 CUBERO DR NE STE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5910 CUBERO DR NE STE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093868",
            "telephone_number": "505-243-7655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY R MCALLISTER, DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-04",
        "last_updated": "2015-09-04",
        "status": "A",
        "authorized_official_last_name": "MACE",
        "authorized_official_first_name": "SONJIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "505-243-7655"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NM",
            "license": "1837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09555374",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Darin Gregg
• Jennifer Gregg
• Jonathan Gregg
• Laura Gregg, MD
• Leilani Gregg
• Gregory T. Lyles-Davis
• Clarice Gregory, LCSW
• Emily Gregory, C.N.P
• George Gregory II
• Gina Gregory, DO

• Dental Clinic/Center in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Dental Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2015; 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.