Kurt Grieshober, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4363 Issued in OK

Practice address

1633 W Owen K Garriott Rd
Suite D
Enid, OK 73703-5600

Phone

(580) 233-7592

Fax

(580) 237-0115

NPI assigned

Jul 28, 2006

Sex

Male

Sole proprietor

Yes

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 OK

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

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609880681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1633 W OWEN K GARRIOTT RD",
            "address_2": "SUITE D",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737035600",
            "telephone_number": "580-233-7592",
            "fax_number": "580-237-0115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1633 W OWEN K GARRIOTT RD",
            "address_2": "SUITE D",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737035600",
            "telephone_number": "580-233-7592",
            "fax_number": "580-237-0115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIESHOBER",
        "first_name": "KURT",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "4363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah K Green, D.MIN, LPC
• Sarah Green
• Greenbrier Nursing Home Number Two, Inc
• Greenbrier Village Adult Day Services, LLC
• Gregory D. Thomas, D.D.S., P.C.
• Danesa Griffin
• Shereen Griffin
• Talisha Griffin
• Lisa Renee Grimes, D.D.S.
• Jennifer S Grittman

• General Practice Dentistry in Enid, OK
• Providers in Enid, OK by specialty
• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.