Organization Active NPI

Jeffrey M. Grimley, DDS, PC

  • General Practice Dentistry
  • Naperville, IL
National Provider Identifier
1073786406
Registry record updated Apr 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JEFFREY M. GRIMLEY, DDS, PC
Practice address
1980 Three Farms Ave
Suite 112
Naperville, IL 60540-1135
Phone
(630) 369-6980
Fax
(630) 369-6412
NPI assigned
Apr 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2008

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

Authorized official

Name
Dr. Jeffrey Michael Grimley, D.D.S.NPI 1538153440
Title
President
Phone
(630) 369-6980

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X IL Primary

Addresses

Primary practice location

1980 Three Farms Ave
Suite 112
Naperville, IL 60540-1135

Mailing address

1980 Three Farms Ave
Suite 112
Naperville, IL 60540-1135
Phone (630) 369-6980

National Provider Directory

National Provider Directory

Locations

1980 Three Farms Ave
Ste 112
Naperville, IL 60540
Phone (630) 369-6980

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1207526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207526400000",
    "number": "1073786406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1980 THREE FARMS AVE",
            "address_2": "SUITE 112",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605401135",
            "telephone_number": "630-369-6980",
            "fax_number": "630-369-6412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1980 THREE FARMS AVE",
            "address_2": "SUITE 112",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605401135",
            "telephone_number": "630-369-6980",
            "fax_number": "630-369-6412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY M. GRIMLEY, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-07",
        "last_updated": "2008-04-07",
        "status": "A",
        "authorized_official_last_name": "GRIMLEY",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-369-6980",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2008; 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.