Individual provider Active NPI

William Samuel Grizzard III, DDS

  • General Practice Dentistry
  • Hopewell, VA
National Provider Identifier
1033770862
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401416566 Issued in VA
Practice address
114 E City Point Rd
Hopewell, VA 23860-3910
Phone
(804) 458-6020
Fax
(804) 458-6092
NPI assigned
Jun 24, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401416566 VA Primary

Addresses

Primary practice location

114 E City Point Rd
Hopewell, VA 23860-3910

Mailing address

114 E City Point Rd
Hopewell, VA 23860-3910
Phone (804) 458-6020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jul 19, 2019 through Jul 19, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0401416566VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Grizzard Dental Arts, PLLC CurrentSince Mar 11, 2025 Accepting new patients
William C Henry DDS PC General Practice PastSince Mar 11, 2025 Accepting new patients

Locations

114 E City Point Rd
Hopewell, VA 23860
Phone (804) 458-6020

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.

NPI Registry JSON

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

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741305600000",
    "number": "1033770862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 E CITY POINT RD",
            "city": "HOPEWELL",
            "state": "VA",
            "postal_code": "238603910",
            "telephone_number": "804-458-6020",
            "fax_number": "804-458-6092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 E CITY POINT RD",
            "city": "HOPEWELL",
            "state": "VA",
            "postal_code": "238603910",
            "telephone_number": "804-458-6020",
            "fax_number": "804-458-6092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIZZARD",
        "first_name": "WILLIAM",
        "middle_name": "SAMUEL",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-24",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401416566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopewell, VA

Sources for this page

Verify at the official NPI Registry.