Active NPI
Hilary Sartain Grimm, D.M.D
- General Practice Dentistry
- Highwood, IL
National Provider Identifier
1356723985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 019.031912
- Practice address
- 410 Green Bay Rd
Highwood, IL 60040 - Phone
- (847) 230-9394
- NPI assigned
- Jun 19, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN21248 | FL | |
| General Practice Dentistry | 1223G0001X | 019.031912 | IL | Primary |
Addresses
Primary practice location
410 Green Bay Rd
Highwood, IL 60040
Mailing address
83 Westover Rd
Highwood, IL 60040-2009
Phone (228) 990-2769
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 |
|---|---|---|---|
| DN21248 | FL | MD | Dentist |
| 019.031912 | IL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541721600000",
"number": "1356723985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "83 WESTOVER RD",
"city": "HIGHWOOD",
"state": "IL",
"postal_code": "600402009",
"telephone_number": "228-990-2769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 GREEN BAY RD",
"city": "HIGHWOOD",
"state": "IL",
"postal_code": "60040",
"telephone_number": "847-230-9394"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIMM",
"first_name": "HILARY",
"middle_name": "SARTAIN",
"name_prefix": "Dr.",
"credential": "D.M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-19",
"last_updated": "2018-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN21248",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "019.031912",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Highwood, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.