Ghrist Orthodontics, LTD.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

3728 Issued in WI

Legal business name

GHRIST ORTHODONTICS, LTD.

Practice address

W65N640 Saint John Ave
Cedarburg, WI 53012-1924

Phone

(262) 377-2847

Fax

(262) 377-3806

NPI assigned

Jul 20, 2006

Organization subpart

No

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

Authorized official

Name

Scott Flesner

Title

Vice President

Phone

(262) 377-2847

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sally Ghrist, D.D.S, M.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Cedarburg, WI
  • NPI 1346260825
  NPD (past)

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174543649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W65N640 SAINT JOHN AVE",
            "city": "CEDARBURG",
            "state": "WI",
            "postal_code": "530121924",
            "telephone_number": "262-377-2847",
            "fax_number": "262-377-3806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W65N640 SAINT JOHN AVE",
            "city": "CEDARBURG",
            "state": "WI",
            "postal_code": "530121924",
            "telephone_number": "262-377-2847",
            "fax_number": "262-377-3806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GHRIST ORTHODONTICS, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FLESNER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "262-377-2847"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WI",
            "license": "3728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genine Marie Ganado, OTR
• Daniel Carlos Garcia, D.D.S.
• Holly Jane Gardenier, MS, LPC, CSAC, ICS
• Marlyn K Gassert
• Tiffany J Geiger, APNP
• Sally Ghrist, D.D.S, M.S.
• Brandon G Goldbeck, D.P.T.
• Jennifer L Goldbeck, P.T.
• Alisha Elizabeth Golec, M.S. CF-SLP
• Lenay Jennifer Graham, CD, CLD

• Orthodontics and Dentofacial Orthopedics Dentistry in Cedarburg, WI
• Providers in Cedarburg, WI by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.