Active NPI
Gerald W. Griner, DDS
- General Practice Dentistry
- Winter Haven, FL
National Provider Identifier
1023225463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 06817
- Practice address
- 200 Avenue K SE
Suite One
Winter Haven, FL 33880-7002 - Phone
- (863) 299-2192
- Fax
- (863) 293-4219
- NPI assigned
- May 16, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 06817 | FL | Primary |
Addresses
Primary practice location
200 Avenue K SE
Suite One
Winter Haven, FL 33880-7002
Mailing address
200 Avenue K SE
Suite One
Winter Haven, FL 33880-7002
Phone (863) 299-2192
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06817 | FL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nicole R. Klein DMD PA | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1023225463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 AVENUE K SE",
"address_2": "SUITE ONE",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338807002",
"telephone_number": "863-299-2192",
"fax_number": "863-293-4219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 AVENUE K SE",
"address_2": "SUITE ONE",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338807002",
"telephone_number": "863-299-2192",
"fax_number": "863-293-4219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRINER",
"first_name": "GERALD",
"middle_name": "W.",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "06817",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winter Haven, FL
Sources for this page
- 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.