{
"Npi": {
"NPI": "1902935000",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "VICTOR L. GREGORY, JR.,D.M.D.,P.A.",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
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"OtherOrgNameTypeCode": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "5301 LIMESTONE RD",
"SecondLineMailingAddress": "SUITE #211",
"MailingAddressCityName": "WILMINGTON",
"MailingAddressStateName": "DE",
"MailingAddressPostalCode": "19808-1250",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "302-239-1827",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "5301 LIMESTONE RD",
"SecondLinePracticeLocationAddress": "SUITE #211",
"PracticeLocationAddressCityName": "WILMINGTON",
"PracticeLocationAddressStateName": "DE",
"PracticeLocationAddressPostalCode": "19808-1250",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "302-239-1827",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "03/05/2007",
"LastUpdateDate": "04/29/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GREGORY",
"AuthorizedOfficialFirstName": "VICTOR",
"AuthorizedOfficialMiddleName": "L.",
"AuthorizedOfficialTitle": "EMPLOYER",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": "JR.",
"AuthorizedOfficialCredential": "D.M.D.",
"AuthorizedOfficialTelephoneNumber": "302-239-1827",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "1223G0001X",
"TaxonomyName": "General Practice Dentistry",
"LicenseNumber": "G10001003",
"LicenseNumberStateCode": "DE",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}