Joseph Adam Gregorich, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D12516 Issued in MN

Practice address

601 Highway 73
Box 46
Floodwood, MN 55736

Phone

(218) 476-2969

NPI assigned

May 30, 2008

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

Enrolled in MN

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

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.

• Cook Area Health Services, Inc

  • Dental Clinic/Center
  • Floodwood, MN
  • NPI 1699748533
  NPD (past)

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212105600000",
    "number": "1710145222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 YOSEMITE AVE",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558111901",
            "telephone_number": "218-349-5586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 HIGHWAY 73",
            "address_2": "BOX 46",
            "city": "FLOODWOOD",
            "state": "MN",
            "postal_code": "55736",
            "telephone_number": "218-476-2969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGORICH",
        "first_name": "JOSEPH",
        "middle_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-30",
        "last_updated": "2008-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D12516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Dombovy, DNP
• Amber Irene Erickson, MD
• Floodwood Area Emergency Medical
• Floodwood Area Emergency Medical Serv District
• Floodwood Services & Training, Inc.
• Brenda Jean Hansen
• Terani Rose Harris, RDH, DT, ADT
• Ind School Dist 698
• Neil Raymond Johnson
• Clayton Albin Lewandowski, DDS

• Dentist in Floodwood, MN
• Providers in Floodwood, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; 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.