Organization Active NPI

Green Gregson Family Dentistry LLC

  • Dentist
  • Metairie, LA
National Provider Identifier
1881901726
Registry record updated May 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
GREEN GREGSON FAMILY DENTISTRY LLC
Practice address
3812 Ridgelake Dr
Suite 300
Metairie, LA 70002
Phone
(504) 849-0190
Fax
(504) 849-0192
NPI assigned
Sep 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2019

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

Authorized official

Name
Dr. Jeffrey M Gregson, DDS
Title
Owner
Phone
(504) 849-0190

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary
Dental Clinic/Center 261QD0000X 3148 LA

Addresses

Primary practice location

3812 Ridgelake Dr
Suite 300
Metairie, LA 70002

Mailing address

3812 Ridgelake Dr
Suite 300
Metairie, LA 70002
Phone (504) 849-0190

National Provider Directory

National Provider Directory

Locations

3842 Ridgelake Dr
Ste 300
Metairie, LA 70002
Phone (504) 849-0190

3812 Ridgelake Dr
Ste 300
Metairie, LA 70002
Phone (504) 849-0190

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": "1284336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557446400000",
    "number": "1881901726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3812 RIDGELAKE DR",
            "address_2": "SUITE 300",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "70002",
            "telephone_number": "504-849-0190",
            "fax_number": "504-849-0192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3812 RIDGELAKE DR",
            "address_2": "SUITE 300",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "70002",
            "telephone_number": "504-849-0190",
            "fax_number": "504-849-0192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN GREGSON FAMILY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-13",
        "last_updated": "2019-05-10",
        "status": "A",
        "authorized_official_last_name": "GREGSON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-849-0190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "LA",
            "license": "3148",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2019; 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.