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Dr. Nicholas G Grennell , DDS

Dentist - General Practice β€’ Minot, ND

Active NPI 1528702347 Individual Practitioner Male Practitioner
Practice location in NPPES

194 Missile Ave
Minot, ND 58705

Call 7017235615 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

194 Missile Ave

Minot, ND 58705

Telephone 7017235615
Organization at the Same NPPES Address or Phone
5th Medgrp-Minot Facility NPI 1801201793

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Minot and North Dakota

32 active clinicians are listed under Dentist - General Practice with a practice address in Minot, ND (280 in North Dakota).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Minot

0% of these 32 clinicians have the CMS telehealth indicator.

0% of these 32 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-01-31
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES MI 2901601314

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: North Dakota State Medical Licensing Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location February 01, 2024

Registered at 194 MISSILE AVE, MINOT, ND 58705 (Tel: 7017235615)

πŸ“
Updated Business Mailing Address February 01, 2024

Registered at 194 MISSILE AVE, MINOT AFB, ND 58705 (Tel: 5174492272)

πŸ‘€
Provider Name / Credentials Updated February 01, 2024

Recorded as NICHOLAS GRENNELL, DDS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 01, 2024

Dentist (license number reported to NPPES: MI 2901601314)

βœ…
NPI Profile Active April 27, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 27, 2022

Registered at 1011 N UNIVERSITY AVE, ANN ARBOR, MI 481091078 (Tel: 7347636933)

πŸ“
Business Mailing Address (Initial Record) April 27, 2022

Registered at 10617 RUESS RD, PERRY, MI 488729758 (Tel: 5174492272)

πŸ‘€
Provider Name / Credentials (Initial Record) April 27, 2022

Recorded as NICHOLAS GRENNELL

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 27, 2022

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration April 27, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1528702347
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 27, 2022
Last Update: February 01, 2024
Sole Proprietor: No

Other Dentist - General Practices in Minot

All Dentist - General Practices in Minot

Mailing Address

194 Missile Ave

Minot Afb, ND 58705

Phone: 5174492272

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.