Active NPI
Larry J Grimaldi, DDS
- Dentist
- Hemet, CA
National Provider Identifier
1093828691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 025395
- Practice address
- 1600 E Florida Ave
Suite 311
Hemet, CA 92544 - Phone
- (951) 658-7251
- Fax
- (951) 658-7251
- NPI assigned
- Aug 16, 2006
- 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 | 025395 | CA | Primary |
Addresses
Primary practice location
1600 E Florida Ave
Suite 311
Hemet, CA 92544
Mailing address
1600 E Florida Ave
Suite 311
Hemet, CA 92544
Phone (951) 658-7251
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 |
|---|---|---|---|
| 025395 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1093828691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 E FLORIDA AVE",
"address_2": "SUITE 311",
"city": "HEMET",
"state": "CA",
"postal_code": "92544",
"telephone_number": "951-658-7251",
"fax_number": "951-658-7251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 E FLORIDA AVE",
"address_2": "SUITE 311",
"city": "HEMET",
"state": "CA",
"postal_code": "92544",
"telephone_number": "951-658-7251",
"fax_number": "951-658-7251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIMALDI",
"first_name": "LARRY",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "025395",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hemet, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.