Active NPI
Kimberly Marie Grady, DMD
- General Practice Dentistry
- Meridian, MS
National Provider Identifier
1467976126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 3960-17
- Practice address
- 2300 N Hills St
Meridian, MS 39305-2633 - Phone
- (601) 474-3140
- NPI assigned
- Aug 2, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3960-17 | MS | Primary |
Addresses
Primary practice location
2300 N Hills St
Meridian, MS 39305-2633
Mailing address
2023 24TH St
Meridian, MS 39301-2116
Phone (601) 479-4152
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 |
|---|---|---|---|
| 3960-17 | MS | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Happy Smiles Dentistry-Meridian LLC | General Practice | Past | Accepting new patients |
| Smile Straight Orthodontics-Central Ms PLLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Happy Smiles
- General Practice Dentistry
- Meridian, MS
- NPI 1326395799
-
dba Smile Straight Orthodontics
- Orthodontics and Dentofacial Orthopedics Dentistry
- Meridian, MS
- NPI 1790318608
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1501632000000",
"number": "1467976126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2023 24TH ST",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393012116",
"telephone_number": "601-479-4152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 N HILLS ST",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393052633",
"telephone_number": "601-474-3140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRADY",
"first_name": "KIMBERLY",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-02",
"last_updated": "2017-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MS",
"license": "3960-17",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Meridian, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.