Gregg Stephen Resnick, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

13806 Issued in MI

Practice address

110 Arbor LN
Alpena, MI 49707-1302

Phone

(989) 354-4884

NPI assigned

Jul 27, 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 MI

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

Locations

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.

• Gregg S Resnick DDS

  • Oral and Maxillofacial Surgery Clinic/Center
  • Alpena, MI
  • NPI 1366957862
  NPD Authorized official
• Huron Dental RLW PLLC

  • Dental Clinic/Center
  • Alpena, MI
  • NPI 1427708726
  NPD (past)

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740294784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 ARBOR LN",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497071302",
            "telephone_number": "989-354-4884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 ARBOR LN",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497071302",
            "telephone_number": "989-354-4884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESNICK",
        "first_name": "GREGG",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "13806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mackenzie G Ray
• Katlin Reader Lucas
• Brian Reed
• Alexandria Mary Reid, PHARMD
• Karen M Reiter, LPN
• Denise Michele Richards, RPH
• Amanda Renee Richardson, RN
• Tonya Marie Rifenbark
• Thomas Wayne Rifenberg, DDS,MS
• Matthew Riley

• General Practice Dentistry in Alpena, MI
• Providers in Alpena, MI by specialty
• General Practice Dentistry in Michigan

• 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.