Gretchen Kreklow, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D14440 Issued in MN

Practice address

510 NW 2ND Ave
Grand Rapids, MN 55744-2627

Phone

(218) 326-1266

NPI assigned

Jul 20, 2020

Sex

Female

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

State licenses

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 and National Provider Directory roles.

• Kreklow Dental

  • Dental Clinic/Center
  • Grand Rapids, MN
  • NPI 1104490689
  NPD Authorized official
• Byron Rowell PA

  • Dental Clinic/Center
  • Grand Rapids, MN
  • NPI 1275797763
  NPD (past)

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624838400000",
    "number": "1609484245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 NW 2ND AVE",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557442627",
            "telephone_number": "218-326-1266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 NW 2ND AVE",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557442627",
            "telephone_number": "218-326-1266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREKLOW",
        "first_name": "GRETCHEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-20",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D14440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John A. Kole, MD
• Suzanne Koprowski, NP
• Alyssa Kotula
• James Krall
• Kreklow Dental
• Natalie Kay Kruse, NP
• Andrew Stuart Kuehn, DDS
• Erika M Kuehn, D.O.
• Matthew Kustritz
• Joseph William Lackner, PA-C

• Dentist in Grand Rapids, MN
• Providers in Grand Rapids, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; 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.