Organization Active NPI

DRS Grigsby & Chiera S C

  • General Practice Dentistry
  • Beloit, WI
National Provider Identifier
1194874883
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5001606-015 Issued in WI
Legal business name
DRS GRIGSBY & CHIERA S C
Practice address
2149 Pioneer Dr
Beloit, WI 53511-3057
Phone
(608) 362-5712
Fax
(608) 362-3359
NPI assigned
Jan 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Robert H Grigsby, DDSNPI 1912915661
Title
President
Phone
(608) 362-5712

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 5001606-015 WI Primary

Addresses

Primary practice location

2149 Pioneer Dr
Beloit, WI 53511-3057

Mailing address

2149 Pioneer Dr
Beloit, WI 53511-3057
Phone (608) 362-5712

National Provider Directory

National Provider Directory

Locations

2149 Pioneer Dr
Beloit, WI 53511
Phone (608) 362-5712

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": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194874883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2149 PIONEER DR",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535113057",
            "telephone_number": "608-362-5712",
            "fax_number": "608-362-3359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2149 PIONEER DR",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535113057",
            "telephone_number": "608-362-5712",
            "fax_number": "608-362-3359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS GRIGSBY & CHIERA S C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRIGSBY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "608-362-5712",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5001606-015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beloit, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.