Active NPI
Cynthia Grinstead, DMD
- Dentist
- Oak Ridge, TN
National Provider Identifier
1013137470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12019
- Practice address
- 351 S Illinois Ave
Oak Ridge, TN 37830-6741 - Phone
- (865) 272-2806
- NPI assigned
- Apr 26, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN13801 | FL | |
| Dentist | 122300000X | 12019 | TN | Primary |
Addresses
Primary practice location
351 S Illinois Ave
Oak Ridge, TN 37830-6741
Mailing address
351 S Illinois Ave
Oak Ridge, TN 37830-6741
Phone (865) 272-2806
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN13801 | FL | MD | Dentist |
| 12019 | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tennessee Dental Professionals, PC | Past | Accepting new patients |
Networks
- MS PPO C-SNP
- TN PPO C-SNP
- KY PPO C-SNP
- MS PPO D-SNP
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Oak Ridge, TN
- NPI 1174000780
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685404800000",
"number": "1013137470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "351 S ILLINOIS AVE",
"city": "OAK RIDGE",
"state": "TN",
"postal_code": "378306741",
"telephone_number": "865-272-2806",
"fax_number": "904-281-9988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "351 S ILLINOIS AVE",
"city": "OAK RIDGE",
"state": "TN",
"postal_code": "378306741",
"telephone_number": "865-272-2806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRINSTEAD",
"first_name": "CYNTHIA",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-26",
"last_updated": "2023-05-30",
"certification_date": "2023-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN13801",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TN",
"license": "12019",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oak Ridge, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.