Organization Active NPI

Gryskwicz LLC

Doing business as Denture Solutions LLC

  • Denturist
  • Kennebunk, ME
National Provider Identifier
1912456401
Registry record updated Sep 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DenturistTaxonomy code 122400000X
License
5007 Issued in ME
Legal business name
GRYSKWICZ LLC
Doing business as
Denture Solutions LLC
Practice address
54 York St
Kennebunk, ME 04043-7157
Phone
(207) 985-0210
Fax
(207) 985-8068
NPI assigned
Sep 26, 2016
Last updated
Sep 26, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2016

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

Authorized official

Name
Mrs. Shannon M. Gryskwicz, LDNPI 1780001735
Title
Owner/Denturist
Phone
(207) 985-0210

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DenturistGroup: 193400000X SINGLE SPECIALTY GROUP 122400000X 5007 ME Primary

Addresses

Primary practice location

54 York St
Kennebunk, ME 04043-7157

Mailing address

54 York St
Kennebunk, ME 04043-7157
Phone (207) 985-0210

Other names 1

  • Denture Solutions LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1474848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474848000000",
    "number": "1912456401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 YORK ST",
            "city": "KENNEBUNK",
            "state": "ME",
            "postal_code": "040437157",
            "telephone_number": "207-985-0210",
            "fax_number": "207-985-8068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 YORK ST",
            "city": "KENNEBUNK",
            "state": "ME",
            "postal_code": "040437157",
            "telephone_number": "207-985-0210",
            "fax_number": "207-985-8068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRYSKWICZ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-26",
        "last_updated": "2016-09-26",
        "status": "A",
        "authorized_official_last_name": "GRYSKWICZ",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER/DENTURIST",
        "authorized_official_telephone_number": "207-985-0210",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LD"
    },
    "taxonomies": [
        {
            "code": "122400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Denturist",
            "state": "ME",
            "license": "5007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Denture Solutions LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kennebunk, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2016; 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.