Ethan Grounds DMD PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ETHAN GROUNDS DMD PC

Practice address

300 Small St Ste D
Harrisburg, IL 62946-3325

Phone

(618) 252-1725

NPI assigned

Jan 2, 2024

Last updated

Jan 2, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ethan Grounds, DMDNPI 1740710052

Title

Dr.

Phone

(618) 889-0606

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ethan Thomas Grounds, DMD

  • General Practice Dentistry
  • Harrisburg, IL
  • NPI 1740710052
  NPD Authorized official
• Jammie Kent Stricklin, DMD

  • General Practice Dentistry
  • Harrisburg, IL
  • NPI 1659592426
  NPD (past)

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

{
    "created_epoch": "1704153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704153600000",
    "number": "1073382099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 MARSHALL STREET",
            "city": "HARRISBURG",
            "state": "IL",
            "postal_code": "62946",
            "telephone_number": "618-889-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SMALL ST STE D",
            "city": "HARRISBURG",
            "state": "IL",
            "postal_code": "629463325",
            "telephone_number": "618-252-1725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETHAN GROUNDS DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-02",
        "last_updated": "2024-01-02",
        "certification_date": "2023-12-27",
        "status": "A",
        "authorized_official_last_name": "GROUNDS",
        "authorized_official_first_name": "ETHAN",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "618-889-0606",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Egyptian Health Department
• Egyptian Health Department
• Ellet Pharmacy Inc (Medicap Pharmacy)
• Anne Callis Ellis, BSN RN
• Empowerme Rehabilitation Illinois, LLC
• Timothy Etienne, RPH
• Eubanks & Daugherty, LLC
• Krystina Lee Eubanks, O.D.
• Matthew Blaine Eubanks, M.D.
• Melodi G Ewing, MD

• Dental Clinic/Center in Harrisburg, IL
• Providers in Harrisburg, IL by specialty
• Dental Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.