Johnny Grinspan Inc

Primary specialty

DentistTaxonomy code 122300000X

License

20582 Issued in TX

Legal business name

JOHNNY GRINSPAN INC

Doing business as

Texoma Family Dentistry

Practice address

509 S Mirick Ave
Denison, TX 75020-4433

Phone

(903) 465-9500

Fax

(903) 465-9500

NPI assigned

Apr 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Johnny Rolando Grinspan, DDSNPI 1295815405

Title

President

Phone

(903) 465-9500

Specialties & licenses 1

Addresses

Other names 1

• Texoma Family Dentistry Doing business as

Locations

Practitioners 2

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

• Johnny Rolando Grinspan, D.D.S.

  • Dentist
  • Denison, TX
  • NPI 1295815405
  NPD (past) Authorized official
• Eva Renee Smith, D.D.S.

  • General Practice Dentistry
  • Denison, TX
  • NPI 1265519615
  NPD (past)

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316164361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 S MIRICK AVE",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750204433",
            "telephone_number": "903-465-9500",
            "fax_number": "903-465-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 S MIRICK AVE",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750204433",
            "telephone_number": "903-465-9500",
            "fax_number": "903-465-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNNY GRINSPAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRINSPAN",
        "authorized_official_first_name": "JOHNNY",
        "authorized_official_middle_name": "ROLANDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "903-465-9500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "20582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texoma Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leah Hope Janes, DPT
• Shelley L Jannati, SLP-A
• Ehson Muhammad Javaid, M.D.
• Jeff W Meincke-Reza M D
• John Van Wagoner MD (Southwest ALlergy & Asthma Center)
• Debbie Johnson, R.N.
• Quyen Johnson, NP
• Dana Joines, MS, CCC-SLP
• Irvin Errol Jondahl, MD
• Courtney Jones

• Dentist in Denison, TX
• Providers in Denison, TX by specialty
• Dentist in Texas

• 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.