NPIMap

Organization Active NPI

Grillo and Robeck PLLC

Doing business as Grillo Robeck Dental

  • Dentist
  • Omak, WA
National Provider Identifier
1346661790
Registry record updated Jan 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7526 Issued in WA
Legal business name
GRILLO AND ROBECK PLLC
Doing business as
Grillo Robeck Dental
Practice address
739 Haussler Rd
Omak, WA 98841-9547
Phone
(509) 826-4050
NPI assigned
Jan 1, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2014

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

Authorized official

Name
Dr. Gregory Gerald Grillo, DDSNPI 1346578739
Title
Manager
Phone
(509) 826-4050

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 7526 WA Primary

Addresses

Primary practice location

739 Haussler Rd
Omak, WA 98841-9547

Mailing address

PO Box 1841
Omak, WA 98841-1841
Phone (609) 826-4050

Other names 1

  • Grillo Robeck Dental Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1388534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388534400000",
    "number": "1346661790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1841",
            "city": "OMAK",
            "state": "WA",
            "postal_code": "988411841",
            "telephone_number": "609-826-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "739 HAUSSLER RD",
            "city": "OMAK",
            "state": "WA",
            "postal_code": "988419547",
            "telephone_number": "509-826-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRILLO AND ROBECK PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-01",
        "last_updated": "2014-01-01",
        "status": "A",
        "authorized_official_last_name": "GRILLO",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "GERALD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "509-826-4050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "7526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grillo Robeck Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Omak, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2014; 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.