Individual provider Active NPI

Kenneth Michael Grebliunas, D.D.S.

  • General Practice Dentistry
  • Great Falls, MT
National Provider Identifier
1689750028
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DEN-DEN-LIC-17320 Issued in MT
Practice address
202 2ND Ave S Ste 203
Great Falls, MT 59405-1831
Phone
(406) 791-9267
Fax
(406) 791-9277
NPI assigned
Oct 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DEN-DEN-LIC-17320 MT Primary

Addresses

Primary practice location

202 2ND Ave S Ste 203
Great Falls, MT 59405-1831

Mailing address

601 1St Ave N
Great Falls, MT 59401-2510
Phone (406) 454-6973

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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

Enrollment IDStateProvider typePAC IDDetails
I20231218001415 MT Practitioner - Dentist 9931420635 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Care Center Incorporated CurrentSince Nov 4, 2023 Accepting new patients

Locations

601 1st Ave N
Great Falls, MT 59401
Phone (406) 454-5074

115 4th St S
Great Falls, MT 59401
Phone (406) 454-6950

202 2nd Ave S
Ste 203
Great Falls, MT 59405
Phone (406) 791-9267

Interoperability endpoints

  • Direct secure messaging: kenneth.grebliunas.p1@direct.mhsi.nextgenshare.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1689750028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 1ST AVE N",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594012510",
            "telephone_number": "406-454-6973",
            "fax_number": "406-791-9277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 2ND AVE S STE 203",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594051831",
            "telephone_number": "406-791-9267",
            "fax_number": "406-791-9277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREBLIUNAS",
        "first_name": "KENNETH",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MT",
            "license": "DEN-DEN-LIC-17320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

Verify at the official NPI Registry.