Gregory Wynn Pyle, DMD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DS026308L Issued in PA

Practice address

138 Memorial Dr
Everett, PA 15537-7028

Phone

(814) 623-1022

NPI assigned

Jul 18, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972522530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 MEMORIAL DR",
            "city": "EVERETT",
            "state": "PA",
            "postal_code": "155377028",
            "telephone_number": "814-623-1022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 MEMORIAL DR",
            "city": "EVERETT",
            "state": "PA",
            "postal_code": "155377028",
            "telephone_number": "814-623-1022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PYLE",
        "first_name": "GREGORY",
        "middle_name": "WYNN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS026308L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER HEALTH PLAN",
            "identifier": "27103",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC HEALTH PLAN",
            "identifier": "200074",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen Ann Petrullo, MT-BC
• Megan Phennicie, COTA/L
• Lucetta Pontiff, PHARMD
• Joyce Elaine Poydence, MA, CCC-SLP
• Prodigy Dialysis
• Nancy Defibaugh Pyle, CRNP
• Stephanie E. Rakoczy-Schetrompf, LCSW
• Mark Steven Rakoczy, O.D.
• Raystown Ambulance Service Inc
• Rebecca's Personal Care Home Inc

• Oral and Maxillofacial Surgery (Dentist) in Everett, PA
• Providers in Everett, PA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.