Grant A Lemke, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2261 Issued in WI

Practice address

3079 Village Square Dr
Hartland, WI 53029-8361

Phone

(262) 367-4245

Fax

(262) 367-6537

NPI assigned

Sep 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

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.

• Cloud 9 Dentistry SC

  • Dental Clinic/Center
  • Hartland, WI
  • NPI 1871183251
  NPD (past)

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

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549497600000",
    "number": "1376636746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3079 VILLAGE SQUARE DR",
            "city": "HARTLAND",
            "state": "WI",
            "postal_code": "530298361",
            "telephone_number": "262-367-4245",
            "fax_number": "262-367-6537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3079 VILLAGE SQUARE DR",
            "city": "HARTLAND",
            "state": "WI",
            "postal_code": "530298361",
            "telephone_number": "262-367-4245",
            "fax_number": "262-367-6537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMKE",
        "first_name": "GRANT",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-30",
        "last_updated": "2019-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "2261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lake Country Therapist
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• Sean Davis Laroque, PH.D.
• Bethany Lato, LPC-IT
• Legion Transit LLC
• Lending Hands Healthcare LLC
• John C Lesniak, M.D.
• Lifespan Psychotherapy
• Jonathan Romeo Lo, D.C.
• Kelly Jo Loesch, MT-BC, WMTR

• General Practice Dentistry in Hartland, WI
• Providers in Hartland, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2019; 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.