Neil Griseto, BA BDENTSC MS

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

021003230 Issued in IL

Practice address

1S224 Summit Ave Ste 311
Oakbrook Terrace, IL 60181-3944

Phone

(617) 432-1434

NPI assigned

Jul 18, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts, Master of Science

State licenses

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

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679616000000",
    "number": "1124504501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1S224 SUMMIT AVE STE 311",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601813944",
            "telephone_number": "210-975-8349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1S224 SUMMIT AVE STE 311",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601813944",
            "telephone_number": "617-432-1434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRISETO",
        "first_name": "NEIL",
        "name_prefix": "Dr.",
        "credential": "BA BDENTSC MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-18",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "33827",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019033962",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "MA",
            "license": "DF11527",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "IL",
            "license": "021003230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Lori Gray, CCC-SLP/L, CBIS
• Sarah Nicole Greenwell, PT, DPT
• Charlotte Greiwe, MA, LPC
• Tatiana Grier, NP-C
• Stephen Damien Grill, M.D.
• Seth Gruenwald, LCSW
• James H Gruft, MD
• Charlie F Gude, M.D.
• Marja Haman-Djoda, N.P.
• James Macauthor Hampton Jr.

• Prosthodontics in Oakbrook Terrace, IL
• Providers in Oakbrook Terrace, IL by specialty
• Prosthodontics in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2023; 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.