Individual provider Active NPI

Gregory R McGee, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Idaho Falls, ID
National Provider Identifier
1891756367
Registry record updated Feb 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
D-4979-OS Issued in ID
Practice address
3905 Washington Pkwy
Idaho Falls, ID 83404-7596
Phone
(208) 528-6000
Fax
(208) 528-6399
NPI assigned
Mar 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 1545 WY
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 2698 NM
Oral and Maxillofacial Surgery (Dentist) 1223S0112X D-4979-OS ID Primary

Addresses

Primary practice location

3905 Washington Pkwy
Idaho Falls, ID 83404-7596

Mailing address

3905 Washington Pkwy
Idaho Falls, ID 83404-7596
Phone (208) 528-6000

Other practice location 1

487 North Main Street
Suite B
Thayne, WY 83127
Phone (307) 883-4222

Other practice location 2

33 Fremont Lake Rd
Pinedale, WY 82941-5213
Phone (307) 367-3700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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

Enrollment IDStateProvider typePAC IDDetails
I20190725000213 ID Practitioner - Oral Surgery 8729204607 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
Oregon Health & Sciences Univ School of Dentistry, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3905 Washington Pkwy
Idaho Falls, ID 83404-7596
Phone (208) 528-6000

Hospital & facility affiliations

  • Eastern Idaho Regional Medical Center Hospital, Idaho Falls, ID, CCN 130018

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1545WYMDProfessional Counselor
2698NMMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Gregory McGee, DMD Oral and Maxillofacial Surgery CurrentSince Apr 23, 2019 Accepting new patients
Steel Oral and Maxillofacial Surgery Inc Past Accepting new patients
Mark W Johnson, DMD, PC PastSince May 21, 2023 Accepting new patients
Star Valley Oral Surgery Oral and Maxillofacial Surgery PastSince May 17, 2020 Accepting new patients
Pinedale Dental PastSince Jan 17, 2022 Accepting new patients
Riley J. Hicks D.D.S., P.a. Oral and Maxillofacial Surgery PastSince Apr 23, 2019 Accepting new patients
Rio Grande Oral and Maxillofacial Surgery, P.C. Past Accepting new patients

Locations

3905 Washington Pkwy
Idaho Falls, ID 83404
Phone (208) 528-6000

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1891756367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3905 WASHINGTON PKWY",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047596",
            "telephone_number": "208-528-6000",
            "fax_number": "208-528-6399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3905 WASHINGTON PKWY",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047596",
            "telephone_number": "208-528-6000",
            "fax_number": "208-528-6399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "487 North Main Street",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Thayne",
            "state": "WY",
            "postal_code": "83127",
            "country_code": "US",
            "telephone_number": "307-883-4222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "33 Fremont Lake Rd",
            "address_purpose": "LOCATION",
            "city": "Pinedale",
            "state": "WY",
            "postal_code": "829415213",
            "country_code": "US",
            "telephone_number": "307-367-3700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGEE",
        "first_name": "GREGORY",
        "middle_name": "R",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WY",
            "license": "1545",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NM",
            "license": "2698",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "ID",
            "license": "D-4979-OS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

Verify at the official NPI Registry.