Jason J Grebner, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

M933 Issued in SD

Practice address

407 6TH Ave SE
Aberdeen, SD 57401-6145

Phone

(605) 226-1867

Fax

(605) 226-3993

NPI assigned

Aug 30, 2006

Last updated

Jun 27, 2024By 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

Medicare fee-for-service enrollment

Enrolled in SD

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

Practice roles

Locations

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.

• Family Dental Care LLP

  • General Practice Dentistry
  • Aberdeen, SD
  • NPI 1720198062
  NPD Authorized official

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1407966724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 6TH AVE SE",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574016145",
            "telephone_number": "605-226-1867",
            "fax_number": "605-226-3993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 6TH AVE SE",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574016145",
            "telephone_number": "605-226-1867",
            "fax_number": "605-226-3993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREBNER",
        "first_name": "JASON",
        "middle_name": "J",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SD",
            "license": "M933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Robert Gough, D.O.
• Katherine Goulding, CNP
• Cassandra Cheyenne Grabiel, DNP
• Lisa Grandpre
• Great Plains Rehabilitation Medicine, PC
• Gregg Van Beek DDS PC (Northeastern Dental Center)
• Gregg Van Beek DDS PC (Northeastern Dental Center)
• Korine E Grismer
• Kelsie Elaine Guerrero, FNP-C
• Susheel S Gundewar, M.D.

• General Practice Dentistry in Aberdeen, SD
• Providers in Aberdeen, SD by specialty
• General Practice Dentistry in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; 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.