Active NPI
Roy Dennis Griewisch
- Vehicle Modifications Contractor
- Pensacola, FL
National Provider Identifier
1811283245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vehicle Modifications Contractor
- Practice address
- 9580 Nims LN
Pensacola, FL 32534-1302 - Phone
- (850) 479-1766
- Fax
- (850) 479-1768
- NPI assigned
- Jun 23, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Modifications Contractor | 171WH0202X | FL | ||
| Vehicle Modifications Contractor | 171WV0202X | FL | Primary | |
| Durable Medical Equipment & Medical Supplies | 332B00000X | FL | ||
| Customized Equipment (DME) | 332BC3200X | FL |
Addresses
Primary practice location
9580 Nims LN
Pensacola, FL 32534-1302
Mailing address
9580 Nims LN
Pensacola, FL 32534-1302
Phone (850) 479-1766
Other names 1
- Mr. Chris Charles Griewisch
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308787200000",
"number": "1811283245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9580 NIMS LN",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325341302",
"telephone_number": "850-479-1766",
"fax_number": "850-479-1768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9580 NIMS LN",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325341302",
"telephone_number": "850-479-1766",
"fax_number": "850-479-1768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIEWISCH",
"first_name": "ROY",
"middle_name": "DENNIS",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-23",
"last_updated": "2011-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "171WH0202X",
"taxonomy_group": "",
"desc": "Contractor, Home Modifications",
"state": "FL",
"license": null,
"primary": false
},
{
"code": "171WV0202X",
"taxonomy_group": "",
"desc": "Contractor, Vehicle Modifications",
"state": "FL",
"license": null,
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "FL",
"license": null,
"primary": false
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "FL",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHRIS",
"last_name": "GRIEWISCH",
"middle_name": "CHARLES",
"prefix": "MR.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.