Great Grillz LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GREAT GRILLZ LLC

Practice address

1555 N Wayne St
Angola, IN 46703-2352

Phone

(260) 319-5090

NPI assigned

Feb 11, 2019

Last updated

Jun 20, 2023By 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

Kurt Losier

Title

Owner

Phone

(260) 319-5090

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, and the practitioner matching its NPPES authorized official.

• Kreg Terry, DDS

  • Dentist
  • Angola, IN
  • NPI 1356836415
  NPD (past)

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

{
    "created_epoch": "1549843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687219200000",
    "number": "1336605773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70887",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441900887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 N WAYNE ST",
            "city": "ANGOLA",
            "state": "IN",
            "postal_code": "467032352",
            "telephone_number": "260-319-5090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT GRILLZ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-11",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A",
        "authorized_official_last_name": "LOSIER",
        "authorized_official_first_name": "KURT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "260-319-5090"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Getty, PHARMD
• Brecken Gilbert
• Emily Golliff
• Danessa Pauline Grabill, COTA
• Maryeva Grace
• Teresa J. Greiner, M.D.
• Tonya Marie Grimme, FNP-BC
• Emilie Gustin
• Cheyene M Guthrie, B.S., BCABA
• Sarah Hagen, RN

• General Practice Dentistry in Angola, IN
• Providers in Angola, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.