Active NPI
John J. Grimaldi, D.D.S.
- General Practice Dentistry
- Erie, PA
National Provider Identifier
1376674697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DS015116L
- Practice address
- 3736 Sterrettania Rd
Erie, PA 16506-2829 - Phone
- (814) 836-7777
- Fax
- (814) 836-7779
- NPI assigned
- Mar 8, 2007
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS015116L | PA | Primary |
Addresses
Primary practice location
3736 Sterrettania Rd
Erie, PA 16506-2829
Mailing address
3736 Sterrettania Rd
Erie, PA 16506-2829
Phone (814) 836-7777
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 |
|---|---|---|---|
| DS015116L | PA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Erie Dental Sleep Therapy, LLC | 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
- Erie, PA
- NPI 1811295181
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376674697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3736 STERRETTANIA RD",
"city": "ERIE",
"state": "PA",
"postal_code": "165062829",
"telephone_number": "814-836-7777",
"fax_number": "814-836-7779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3736 STERRETTANIA RD",
"city": "ERIE",
"state": "PA",
"postal_code": "165062829",
"telephone_number": "814-836-7777",
"fax_number": "814-836-7779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIMALDI",
"first_name": "JOHN",
"middle_name": "J.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "DS015116L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Erie, PA
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.