Northwoods Dental Sleep Therapy Inc

Primary specialty

DentistTaxonomy code 122300000X

License

5242-15 Issued in WI

Legal business name

NORTHWOODS DENTAL SLEEP THERAPY INC

Practice address

865 N Railroad St
Eagle River, WI 54521-8834

Phone

(715) 479-6100

NPI assigned

Feb 26, 2013

Last updated

Oct 13, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Darrin J Gremban, DDSNPI 1255462669

Title

Owner

Phone

(715) 479-6100

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Darrin James Gremban, DDS

  • General Practice Dentistry
  • Eagle River, WI
  • NPI 1255462669
  NPD (past) Authorized official
• Gregory Allen Gremban, DDS

  • General Practice Dentistry
  • Eagle River, WI
  • NPI 1750412177
  NPD (past)

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

{
    "created_epoch": "1361836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444694400000",
    "number": "1285974386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "865 N RAILROAD ST",
            "city": "EAGLE RIVER",
            "state": "WI",
            "postal_code": "545218834",
            "telephone_number": "715-479-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 N RAILROAD ST",
            "city": "EAGLE RIVER",
            "state": "WI",
            "postal_code": "545218834",
            "telephone_number": "715-479-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWOODS DENTAL SLEEP THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-26",
        "last_updated": "2015-10-13",
        "status": "A",
        "authorized_official_last_name": "GREMBAN",
        "authorized_official_first_name": "DARRIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-479-6100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "5242-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas William Newkirk, RPH
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• Northland Pines School District
• Northwest Counseling & Guidance Clinic, Inc. (Northwest Journey - Rhinelander)
• Nova Integrated Care LLC
• Annette M Numrich, OTR-L
• David William Peterson, RPH
• Jenna M Peterson, DPT
• Rebecca E Pflughoeft, NP

• Dentist in Eagle River, WI
• Providers in Eagle River, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.