Active NPI
Joseph A Grider IV, D.D.S
- Dentist
- New Castle, IN
National Provider Identifier
1144382342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6498
- Practice address
- 202 N Main St
New Castle, IN 47362-4211 - Phone
- (765) 529-9180
- Fax
- (765) 529-7442
- NPI assigned
- Dec 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 6498 | IN | Primary |
Addresses
Primary practice location
202 N Main St
New Castle, IN 47362-4211
Mailing address
202 N Main St
New Castle, IN 47362-4211
Phone (765) 529-9180
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100134580A | Medicaid | IN |
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 |
|---|---|---|---|
| 6498 | IN | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joseph a Grider DDS PC | Dentist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dentist
- New Castle, IN
- NPI 1427120880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460678400000",
"number": "1144382342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 N MAIN ST",
"city": "NEW CASTLE",
"state": "IN",
"postal_code": "473624211",
"telephone_number": "765-529-9180",
"fax_number": "765-529-7442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 N MAIN ST",
"city": "NEW CASTLE",
"state": "IN",
"postal_code": "473624211",
"telephone_number": "765-529-9180",
"fax_number": "765-529-7442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIDER",
"first_name": "JOSEPH",
"middle_name": "A",
"name_suffix": "IV",
"credential": "D.D.S",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-14",
"last_updated": "2016-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IN",
"license": "6498",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100134580A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Castle, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.