Gregory Thomas McMahon, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

043245 Issued in NY

Practice address

2711 Albany Post Rd
Montgomery, NY 12549-2158

Phone

(845) 457-1647

Fax

(845) 818-3921

NPI assigned

Mar 21, 2006

Last updated

Jan 22, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Red Apple Dental, P.C.

  • General Practice Dentistry
  • Montgomery, NY
  • NPI 1437209152
  NPD (past) Authorized official

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421884800000",
    "number": "1942269709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 ALBANY POST RD",
            "city": "MONTGOMERY",
            "state": "NY",
            "postal_code": "125492158",
            "telephone_number": "845-457-1647",
            "fax_number": "845-818-3921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 ALBANY POST RD",
            "city": "MONTGOMERY",
            "state": "NY",
            "postal_code": "125492158",
            "telephone_number": "845-457-1647",
            "fax_number": "845-818-3921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMAHON",
        "first_name": "GREGORY",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2015-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "043245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Mathelier
• Jaclyn McCullough, PT, DPT
• Emily C McDonald, MSPT
• David McEvoy, OTR
• Janice McGrath, MA. CCC. SLP
• Robert A McPhillips
• Middletown Community Health Center Inc
• Kole Stewart Miller, DDS
• Jaime Mitchell
• Michele Modugno, PT DPT

• General Practice Dentistry in Montgomery, NY
• Providers in Montgomery, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.