DR. GLENN DELA LLANA GEQUILLANA DDS
NPI 1154484616
Dentist in Milwaukee, WI

Q: What is Glenn Gequillana's NPI number?

The NPI number for Glenn Gequillana is 1154484616. It was assigned to this individual provider in the NPPES registry on December 18, 2006.

Q: What is Glenn Gequillana's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: Is Glenn Gequillana enrolled in Medicare?

No. Glenn Gequillana has opted out of Medicare through September 21, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Glenn Gequillana was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 18, 2006Opted out of Medicare · through Sep 21, 2026

2901 W KINNICKINNIC RIVER PKWY, SUITE 104, MILWAUKEE, WI 53215(414) 649-3510(414) 385-2854 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Glenn Dela Llana Gequillana Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GLENN DELA LLANA GEQUILLANA DDS (NPI 1154484616) is an individual dentist in Milwaukee, Wisconsin, licensed in Wisconsin (5003015) and active in the NPI registry since December 2006. He has opted out of Medicare through September 21, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1154484616

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. GLENN DELA LLANA GEQUILLANACredential: DDS

Location Address2901 W KINNICKINNIC RIVER PKWY, SUITE 104Milwaukee, WI 53215-3677

Mailing Address2901 W Kinnickinnic River Pkwy, Suite 104Milwaukee, WI 53215-3677 · (414) 649-3510 · Fax (414) 385-2854

Phone(414) 649-3510

Fax(414) 385-2854

Sole ProprietorNo

Enumeration DateDecember 18, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1154484616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in WI · 5003015

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

2901 W KINNICKINNIC RIVER PKWY, Milwaukee, WI 53215

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Other Identifiers 1

Medicare ID-Type Unspecified33777200WI · Medicare #

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Glenn Dela Llana Gequillana Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 21, 2012 through September 21, 2026.

Opt-Out Effective DateSeptember 21, 2012

Opt-Out In Effect ThroughSeptember 21, 2026Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53215 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. ROSE H FJELD APNP

Nurse Practitioner

2901 W KINNICKINNIC RIVER PKWY, 305
MILWAUKEE, WI 53215

Milwaukee County (414) 385-5999

COURTNEY Q RECKNAGEL APNP

Nurse Practitioner

2901 W KINNICKINNIC RIVER PKWY
MILWAUKEE, WI 53215

Milwaukee County (414) 649-3780

EGLI SPAHO DPT

Physical Therapist

2901 W KINNICKINNIC RIVER PKWY
MILWAUKEE, WI 53215

Milwaukee County (414) 646-8000

KELLY M KNIPRATH NP

Nurse Practitioner

2901 W KINNICKINNIC RIVER PKWY, SUITE 106
MILWAUKEE, WI 53215

Milwaukee County (414) 649-7708

DR. NARAYANA RAO PARASU M.D.

Physical Medicine & Rehabilitation

2901 W KINNICKINNIC RIVER PKWY, SUITE: 106
MILWAUKEE, WI 53215

Milwaukee County (414) 649-7708

DISCOVERY RESEARCH INTERNATIONAL

Specialist (Research Study)

2901 W KINNICKINNIC RIVER PKWY, SUITE 414
MILWAUKEE, WI 53215

Milwaukee County (414) 385-8680

RAM P. BHALA, M.D., S.C.

Physical Medicine & Rehabilitation

2901 W KINNICKINNIC RIVER PKWY
MILWAUKEE, WI 53215

Milwaukee County (414) 649-7709

MRS. MELISSA MARIE WHITEHOUSE PHYSICIAN ASSISTANT

Physician Assistant

2901 W KINNICKINNIC RIVER PKWY
MILWAUKEE, WI 53215

Milwaukee County (414) 649-5646

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glenn Gequillana's NPI number?

The NPI number for Glenn Gequillana is 1154484616. It was assigned to this individual provider in the NPPES registry on December 18, 2006.

Where is Glenn Gequillana located?

Glenn Gequillana practices at 2901 W Kinnickinnic River Pkwy Suite 104, Milwaukee, WI 53215. The listed phone number is (414) 649-3510.

What is Glenn Gequillana's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Glenn Gequillana enrolled in Medicare?

No. Glenn Gequillana has opted out of Medicare through September 21, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Glenn Gequillana accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 10 other insurers list Glenn Gequillana as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Glenn Gequillana was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.