Individual provider Active NPI

Peter A. Grieser, DDS

  • General Practice Dentistry
  • Port Orchard, WA
National Provider Identifier
1316017379
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7016 Issued in WA
Practice address
1880 Pottery Ave Ste 200
Port Orchard, WA 98366-2518
Phone
(360) 895-4321
NPI assigned
Nov 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7016 WA Primary

Addresses

Primary practice location

1880 Pottery Ave Ste 200
Port Orchard, WA 98366-2518

Mailing address

1880 Pottery Ave Ste 200
Port Orchard, WA 98366-2518
Phone (360) 895-4321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160523001101 WA Order and Referring Only - DentistPractitioner - Dentist 8224327754

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Yoder, Grieser & Sullivan, DDS, LLP Past Accepting new patients
Jae H Ha DDS PLLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316017379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 POTTERY AVE STE 200",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983662518",
            "telephone_number": "360-895-4321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 POTTERY AVE STE 200",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983662518",
            "telephone_number": "360-895-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIESER",
        "first_name": "PETER",
        "middle_name": "A.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "7016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orchard, WA

Sources for this page

Verify at the official NPI Registry.