Daniel Paul Gremban, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3195 Issued in WI

Practice address

803 Lincoln St
Rhinelander, WI 54501-3543

Phone

(715) 365-5900

Fax

(715) 365-5903

NPI assigned

Jun 17, 2008

Last updated

Jun 17, 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

Medicare fee-for-service enrollment

Enrolled in WI

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.

• Rhinelander Family Dentistry, SC

  • Dental Clinic/Center
  • Rhinelander, WI
  • NPI 1134267479
  NPD (past) Authorized official

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

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213660800000",
    "number": "1528229127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1279",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545011279",
            "telephone_number": "715-365-5900",
            "fax_number": "715-365-5903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 LINCOLN ST",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545013543",
            "telephone_number": "715-365-5900",
            "fax_number": "715-365-5903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREMBAN",
        "first_name": "DANIEL",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-17",
        "last_updated": "2008-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "3195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Marie Grafwallner, PHARMD
• Aimee Grapentine
• Tami Lisa Graves, PT
• Anna Lynn Gray, SAC-IT
• James V Grebner, MD
• Ashley Grill, FNP
• Terry R Gromer, PTA
• Heidi Grosskopf, AU.D.
• Erin Gustafson, MA CCC-SLP
• William G Gustafson, MD

• General Practice Dentistry in Rhinelander, WI
• Providers in Rhinelander, 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 Jun 17, 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.