Individual provider Active NPI

Gregg E Ueckert, D.D.S.

  • Dentist
  • Austin, TX
National Provider Identifier
1881607091
Registry record updated Nov 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
17663 Issued in TX
Practice address
7030 Village Center Dr
Austin, TX 78731-3024
Phone
(512) 345-3166
Fax
(512) 345-0162
NPI assigned
Aug 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Dentist 122300000X 17663 TX Primary

Addresses

Primary practice location

7030 Village Center Dr
Austin, TX 78731-3024

Mailing address

7030 Village Center Dr
Austin, TX 78731-3024
Phone (512) 345-3166

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
17663TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Glllv, PLLC Dentist Current Accepting new patients
Gregg Edward Ueckert, PLLC Past Accepting new patients

Locations

7030 Village Center Dr
Austin, TX 78731
Phone (512) 345-3166

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1881607091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7030 VILLAGE CENTER DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787313024",
            "telephone_number": "512-345-3166",
            "fax_number": "512-345-0162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7030 VILLAGE CENTER DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787313024",
            "telephone_number": "512-345-3166",
            "fax_number": "512-345-0162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UECKERT",
        "first_name": "GREGG",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "17663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Nov 18, 2020; 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.