Michael E Giebenhain

Primary specialty

DentistTaxonomy code 122300000X

License

6272-15 Issued in WI

Practice address

N6625 County Road a
Black River Falls, WI 54615-5852

Phone

(715) 284-3100

NPI assigned

Jul 2, 2008

Last updated

Jul 2, 2008By the provider in NPPES

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

Other names 1

• Michael E Giebenhain Other name

Medicare fee-for-service enrollment

Enrolled in MN

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Black River Falls Dental LLC

  dba Black River Family Dentistry

  • Dentist
  • Black River Falls, WI
  • NPI 1790393270
  NPD (past)
• Black River Family Dentistry LTD

  • Dentist
  • Black River Falls, WI
  • NPI 1285778969
  NPD (past)

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214956800000",
    "number": "1376706150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N7068 W KENYON RD",
            "city": "BLACK RIVER FALLS",
            "state": "WI",
            "postal_code": "546155649",
            "telephone_number": "612-816-8429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N6625 COUNTY ROAD A",
            "city": "BLACK RIVER FALLS",
            "state": "WI",
            "postal_code": "546155852",
            "telephone_number": "715-284-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIEBENHAIN",
        "first_name": "MICHAEL",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-02",
        "last_updated": "2008-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "6272-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAEL",
            "last_name": "GIEBENHAIN",
            "middle_name": "E",
            "credential": "D.D.S",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kristin M Garcia, LMT
• Garson Growth & Counseling Service
• Bradley C. Garson, MSSW LCSW
• Joel J Gartner, DC
• Melissa Kay Genna
• Elizabeth Gilbertson
• Heather Gjerseth
• Michelle Goetting
• Kayla Mae Goettl
• Donald Robert Greengrass Sr., SAC

• Dentist in Black River Falls, WI
• Providers in Black River Falls, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.