DR. DERRICK B GREGORY (NPI# 1285994947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285994947 |
| Entity Type | Individual |
| Full Name | DR. DERRICK B GREGORY |
| Credential | D.M.D. |
| Practice Address |
1430 W Baddour Pkwy Suite B Lebanon TN 37087-2656 |
| Practice Telephone | 6154440322 |
| Mailing Telephone | 6154440322 |
| Enumeration Date | 2012-05-29 |
| Last Update Date | 2012-05-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DS0000009457 | TN | Dental Providers |
| Street Address |
1430 W BADDOUR PKWY SUITE B |
| City | LEBANON |
| State | TN |
| Zip Code | 37087-2656 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780685743 | Wayne O Wells | Family Medicine | 1430 W Baddour Pkwy, Suite A, Lebanon, TN 37087-2656 | 2005-08-02 |
| 1366733396 | Ashley Guepe Hall | Nurse Practitioner | 1430 W Baddour Pkwy, Suite A, Lebanon, TN 37087-2656 | 2011-04-25 |
| 1548588650 | Lifetime Hearing Clinic, Inc. | Specialist | 1430 W Baddour Pkwy, Suite D, Lebanon, TN 37087-2656 | 2010-05-13 |
| 1174709430 | Impact Physical Therapy, LLC | Physical Therapist | 1430 W Baddour Pkwy, Suite C, Lebanon, TN 37087-2514 | 2008-01-17 |
| 1871775577 | Tenn Sm, LLC | Specialist | 1430 W Baddour Pkwy, Lebanon, TN 37087-2514 | 2007-12-04 |
| 1225159692 | Heather Hancock Dooley | Audiologist | 1430 W Baddour Pkwy, Suite D, Lebanon, TN 37087-2656 | 2007-04-03 |
| 1457371718 | John R Boucher | Physical Therapist | 1430 W Baddour Pkwy, Suite C, Lebanon, TN 37087-2656 | 2006-07-20 |
| 1063487551 | Keely Elaine Metzger | Physician Assistant | 1430 W Baddour Pkwy, Suite 100, Lebanon, TN 37087-2514 | 2006-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051698 | Results-ast Jv, LLC | Physical Therapist | 1420 West Baddour Parkway, Suite 102, Lebanon, TN 37087 | 2020-10-19 |
| 1306405725 | Angela Kurtz | Hearing Instrument Specialist | 1430 West Baddour Parkwayste D, Lebanon, TN 37087 | 2019-06-10 |
| 1164926937 | Andrea Christine Morrisett | Physical Therapist | 404 N Castle Heights Ave Ste G, Lebanon, TN 37087 | 2018-03-19 |
| 1942731492 | Rocky Mountain Holdings, LLC | Ambulance | 760d Franklin Rd, Lebanon, TN 37087 | 2017-03-27 |
| 1326409285 | Karina Lawrence | Speech-Language Pathologist | 1006 Keaton Street, Lebanon, TN 37087 | 2016-03-18 |
| 1174910491 | Yehualashet Bekele Hailemariam | Internal Medicine | 1411 W Baddour Pkwy,lebanon Tn 37087, Lebanon, TN 37087 | 2015-04-24 |
| 1043614829 | Jean Thompson | Behavioral Analyst | 1004 Hickory Hill Lane, Suite 2, Hermitage, TN 37087 | 2014-10-22 |
| 1588072771 | La Keisha Fair | Community Health Worker | 1 Cumberland Square, Lebanon, TN 37087 | 2014-07-31 |
| 1023440609 | James Martin Meadows | Specialist/Technologist | One Cumberland Square, Lebanon, TN 37087 | 2013-08-06 |
| 1336571231 | Lori Ann De Leo | Social Worker | 109 Autumn Creek, Lebanon, TN 37087 | 2013-08-01 |
| Find all providers in zip 37087 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952893034 | Aditi Gupta | Dentist | 367 Route 120 Unit C, Lebanon, NH 03766-1430 | 2018-06-04 |
| 1982126876 | Drew Garrett Hubbard | Dentist | 816 S 2nd St, Lebanon, OR 97355-3226 | 2017-07-12 |
| 1770984585 | Kaila Alexis Clift | Dentist | 1230 S 5th Ave, Lebanon, PA 17042-7814 | 2014-09-11 |
| 1538569496 | Serenity Dental | Dentist | 1030 W Main St, Lebanon, TN 37087-3345 | 2014-08-28 |
| 1235493487 | Kurush Savabi | Dentist | 1375 S Lebanon St, Suite 200, Lebanon, IN 46052-3010 | 2012-07-02 |
| 1083976799 | Timothy Alan Pfountz | Dentist | 335 S. Hartmann Drive, Lebanon, TN 37087-3724 | 2012-06-10 |
| 1477872489 | Lauren Currall Simms | Dentist | 77 Haytown Rd, Lebanon, NJ 08833-4010 | 2010-06-01 |
| 1659533479 | Bracy C Haynie | Dentist | 102 Hartman Dr, Suite H, Lebanon, TN 37087-2569 | 2008-07-02 |
| 1144491234 | William Duley IIi | Dentist | 219 West Main St, Lebanon, KY 40033 | 2008-03-17 |
| 1578757209 | John Francis Mielo Jr. | Dentist | 3 Werner Way, Suite 202, Lebanon, NJ 08833-2223 | 2007-09-06 |
| Find all providers in LEBANON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.