A E Grigg DDS PC

Primary specialty

DentistTaxonomy code 122300000X

License

2901009169 Issued in MI

Legal business name

A E GRIGG DDS PC

Practice address

5481 Colony Dr N
Saginaw, MI 48638

Phone

(989) 792-8888

NPI assigned

Nov 1, 2006

Last updated

Sep 11, 2007By 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

A E Grigg, DDS

Title

Owner

Phone

(989) 792-8888

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189468800000",
    "number": "1073690996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5481 COLONY DR N",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "48638",
            "telephone_number": "989-792-8888",
            "fax_number": "989-792-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5481 COLONY DR N",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "48638",
            "telephone_number": "989-792-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A E GRIGG DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-09-11",
        "status": "A",
        "authorized_official_last_name": "GRIGG",
        "authorized_official_first_name": "A",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-792-8888",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901009169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; 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.