Benjamin Todd Grieb, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D8311 Issued in OR

Practice address

155 SW Shevlin Hixon Dr
Bend, OR 97702-3174

Phone

(541) 382-0392

Fax

(541) 383-7170

NPI assigned

Nov 15, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Benjamin T. Grieb DMD PC

  • Dental Clinic/Center
  • Bend, OR
  • NPI 1831339795
  NPD (past) Authorized official

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236124800000",
    "number": "1659444248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 SW SHEVLIN HIXON DR",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023174",
            "telephone_number": "541-382-0392",
            "fax_number": "541-383-7170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 SW SHEVLIN HIXON DR",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023174",
            "telephone_number": "541-382-0392",
            "fax_number": "541-383-7170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIEB",
        "first_name": "BENJAMIN",
        "middle_name": "TODD",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2009-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D8311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lora Beth Gregory
• Karsyn Greinier
• Alyssa L Gremban, OTD, OTR/L
• Stormi Shilo Gremminger, COTA
• Nicole Gricius, LPC
• Sherrie Grieef
• Craigan Todd Griffin, M.D.
• Emden Rose Griffin, L.AC., LMT
• Kristen Griffin, OTR / L
• Maxon Ryan Griffin

• General Practice Dentistry in Bend, OR
• Providers in Bend, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2009; 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.