Jessica L Grams, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6918-15 Issued in WI

Practice address

18900 W Bluemound Rd
Suite 218
Brookfield, WI 53045-6092

Phone

(262) 789-1490

Fax

(262) 789-6797

NPI assigned

Jun 12, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Grams Family Dental LLC

  • Dental Clinic/Center
  • West Allis, WI
  • NPI 1740178326
  NPD Authorized official
• Galleria West Dental S.C.

  • General Practice Dentistry
  • Brookfield, WI
  • NPI 1386906410
  NPD (past)

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

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339459200000",
    "number": "1053673426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18900 W BLUEMOUND RD",
            "address_2": "SUITE 218",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530456092",
            "telephone_number": "262-789-1490",
            "fax_number": "262-789-6797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18900 W BLUEMOUND RD",
            "address_2": "SUITE 218",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530456092",
            "telephone_number": "262-789-1490",
            "fax_number": "262-789-6797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAMS",
        "first_name": "JESSICA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-12",
        "last_updated": "2012-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "6918-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim Marie Gorecki, PSYD
• Michael P Goss, MD
• Khushi Goyal
• Kathryn Gradecki
• Eva Graham
• Natalie Grandahl, MOT
• Elliot Grant
• Jacob Gravenkamp
• Great Lakes Radiation Oncology,
• Great Midwest Medical, Inc.

• General Practice Dentistry in Brookfield, WI
• Providers in Brookfield, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; 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.