Individual provider Active NPI

Antony Greiss, DMD

  • General Practice Dentistry
  • Toledo, OH
National Provider Identifier
1760006993
Registry record updated Jul 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30.026611 Issued in OH
Practice address
5012 Talmadge Rd
Toledo, OH 43623-2167
Phone
(419) 474-9611
NPI assigned
Jun 3, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Student in an Organized Health Care Education/Training ProgramGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 390200000X DS035312 PA
General Practice Dentistry 1223G0001X 30.026611 OH Primary

Addresses

Primary practice location

5012 Talmadge Rd
Toledo, OH 43623-2167

Mailing address

28863 Oregon Rd Apt B18
Perrysburg, OH 43551-3560

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

LicenseStateTypeSpecialty
30.026611OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Care Dentistry of Ohio LLC CurrentSince Sep 14, 2025 Accepting new patients
Smile Verse Clinic PLLC General Practice CurrentSince May 19, 2024 Accepting new patients

Locations

5012 Talmadge Rd
Toledo, OH 43623
Phone (419) 474-1902

221 E Edgewood Dr
Friendswood, TX 77546
Phone (281) 482-3331

Organizations & group practices 2

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": "1591142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627344000000",
    "number": "1760006993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28863 OREGON RD APT B18",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435513560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5012 TALMADGE RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436232167",
            "telephone_number": "419-474-9611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREISS",
        "first_name": "ANTONY",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-03",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "DS035312",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.026611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; 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.