Active NPI
Lauren Grill
- General Practice Dentistry
- Oshkosh, WI
National Provider Identifier
1649070467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6001895-15
- Practice address
- 2300 Witzel Ave
Oshkosh, WI 54904-1700 - Phone
- (920) 306-6526
- NPI assigned
- Mar 19, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6001895-15 | WI | Primary |
Addresses
Primary practice location
2300 Witzel Ave
Oshkosh, WI 54904-1700
Mailing address
2365 High Oak Dr
Oshkosh, WI 54902-9027
Phone (920) 509-1138
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6001895-15 | WI | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750809600000",
"number": "1649070467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2365 HIGH OAK DR",
"city": "OSHKOSH",
"state": "WI",
"postal_code": "549029027",
"telephone_number": "920-509-1138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 WITZEL AVE",
"city": "OSHKOSH",
"state": "WI",
"postal_code": "549041700",
"telephone_number": "920-306-6526"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRILL",
"first_name": "LAUREN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-03-19",
"last_updated": "2025-06-25",
"certification_date": "2025-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WI",
"license": "6001895-15",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oshkosh, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.