Active NPI
Dominick Joseph Grillo, DMD
- Dentist
- Greensboro, NC
National Provider Identifier
1013432889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 10819
- Practice address
- 2733 Horse Pen Creek Rd Ste 107
Greensboro, NC 27410-8538 - Phone
- (336) 854-9270
- NPI assigned
- Aug 13, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 10819 | NC | Primary |
Addresses
Primary practice location
2733 Horse Pen Creek Rd Ste 107
Greensboro, NC 27410-8538
Mailing address
5404 Fox Terrier Dr
Oak Ridge, NC 27310-9507
Phone (516) 965-2089
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 |
|---|---|---|---|
| 10819 | NC | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| William B Gross DDS of Greensboro LLC | Past | Accepting new patients | |
| Douglas a Kellogg DDS PA | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dental Clinic/Center
- Greensboro, NC
- NPI 1730351917
-
- General Practice Dentistry
- Greensboro, NC
- NPI 1770050544
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502582400000",
"number": "1013432889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5404 FOX TERRIER DR",
"city": "OAK RIDGE",
"state": "NC",
"postal_code": "273109507",
"telephone_number": "516-965-2089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2733 HORSE PEN CREEK RD STE 107",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274108538",
"telephone_number": "336-854-9270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRILLO",
"first_name": "DOMINICK",
"middle_name": "JOSEPH",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-13",
"last_updated": "2017-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "10819",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.