DR. GREGGORY BRYAN IRVING (NPI# 1376961334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376961334 |
| Entity Type | Individual |
| Full Name | DR. GREGGORY BRYAN IRVING |
| Credential | DDS |
| Practice Address |
1110 Corporate Way # 200 Sacramento CA 95831-3875 |
| Mailing Address |
25 Laird Dr Moraga CA 94556-1406 |
| Practice Telephone | 9163912101 |
| Enumeration Date | 2014-04-06 |
| Last Update Date | 2020-06-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
64091 | CA | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3499 Brookside Rd Ste E, Stockton, CA 952191784 | 2099574386 |
| Street Address |
1110 CORPORATE WAY # 200 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95831-3875 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063930584 | Oliver Insixiengmay | Behavior Technician | 112 Fountain Oaks Cir Apt 244, Sacramento, CA 95831 | 2017-09-05 |
| 1194240630 | Kevin Christofer Abdelnour | Specialist/Technologist | 6866 Sailboat Way, Sacramento, CA 95831 | 2017-08-05 |
| 1508389958 | Another Choice Anothe Chance | Substance Abuse Rehabilitation Facility | 6715 Goria Drive Rooms 1 & A, Sacramento, CA 95831 | 2017-07-18 |
| 1225568819 | Taylor Shahbazian | Behavior Technician | 6660 Harmon Drive, Sacramento, CA 95831 | 2017-06-15 |
| 1639618572 | Dignity Care Medical Transportation | Nursing Care | 7230 Saouth Land Park Drive, Suite 101, Sacramento, CA 95831 | 2017-02-13 |
| 1417307208 | Cecilia Vasquez | Counselor | 1026 Florin Road, #198, Sacramento, CA 95831 | 2016-06-13 |
| 1750765053 | Sacramento Physicians Medical Group, Inc. | Clinic/Center | 7248 South Land Park Dr, 200, Sacramento, CA 95831 | 2015-07-16 |
| 1346660818 | Bruce Wright | Driver | 7485 Rush River, Suite 710 #186, Sacramento, CA 95831 | 2014-04-23 |
| 1477993376 | Brenda Ho, Dds, Inc. | Clinic/Center | 905 Secret River Drive, Suite E, Sacramento, CA 95831 | 2013-06-25 |
| 1285977686 | Julie Christine Kwong | Physical Therapist | 7077 Rush River Drive, Sacramento, CA 95831 | 2013-04-03 |
| Find all providers in zip 95831 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588197156 | Alex Antipov Dental Corp | Dentist | 8759 Center Pkwy, Sacramento, CA 95823-7682 | 2017-04-10 |
| 1639383672 | Sacramento Oral Surgery | Dentist | 2503 K Street, Sacramento, CA 95816 | 2007-05-09 |
| 1225151426 | Theodore W Klein | Dentist | 7229 S Land Park Dr, Sacramento, CA 95831-3611 | 2007-04-10 |
| 1417002783 | Brian Lee Royse | Dentist | 2503 K St, Sacramento, CA 95816-5101 | 2007-01-24 |
| 1982752358 | Franklin Anthony Niggebrugge | Dentist | 1737 Professional Dr, Sacramento, CA 95825-2104 | 2007-01-08 |
| 1407903131 | Grace Unehae Lee | Dentist | 3604 Fair Oaks Blvd Ste 100, Sacramento, CA 95864-7256 | 2007-01-04 |
| 1962561340 | Reza Fouladi | Dentist | 7551 Timberlake Way Ste 120, Sacramento, CA 95823-5421 | 2006-12-08 |
| 1013075308 | Michael Steven Phelps | Dentist | 4350 Marconi Avenue, Suite 200, Sacramento, CA 95821 | 2006-12-05 |
| 1831121250 | Mark Allan Weiner | Dentist | 2525 K St Ste 101, Sacramento, CA 95816-5114 | 2006-07-07 |
| 1851320584 | Jagdev Singh Heir | Dentist | 4170 Truxel Rd, Suite C, Sacramento, CA 95834-3758 | 2006-07-03 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95831 |
Please comment or provide details below to improve the information on DR. GREGGORY BRYAN IRVING.
| 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.