Amanda Kuhn Grimshaw, DSS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7983 Issued in NC

Practice address

1902 N Sandhills Blvd Ste H
Aberdeen, NC 28315-2347

Phone

(910) 692-4450

NPI assigned

Dec 4, 2007

Sex

Female

Sole proprietor

No

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.

• DRS. Ritt Kuhn and Mandy Grimshaw PLLC

  • General Practice Dentistry
  • Aberdeen, NC
  • NPI 1104247048
  NPD (past) General Practice
• Ganglani Aberdeen PLLC

  • General Practice Dentistry
  • Aberdeen, NC
  • NPI 1487405312
  NPD (past) General Practice

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Mar 25, 2015 through Mar 25, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 9, 2013.

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357689600000",
    "number": "1508048349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 N SANDHILLS BLVD STE H",
            "city": "ABERDEEN",
            "state": "NC",
            "postal_code": "283152347",
            "telephone_number": "910-692-4450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 N SANDHILLS BLVD STE H",
            "city": "ABERDEEN",
            "state": "NC",
            "postal_code": "283152347",
            "telephone_number": "910-692-4450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMSHAW",
        "first_name": "AMANDA",
        "middle_name": "KUHN",
        "credential": "DSS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-04",
        "last_updated": "2013-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary P Dackor DC Inc
• Christine Pirozzolo Gatti, D.D.S.
• Raquel Katharine Gil-Puglisi, MD
• Rezell Gore, MSW, LCSW, LCAS, CCS
• Greater Image HC
• Judith Ann Gunnarson
• Myra Jane Hall, M.D.
• Wendy Hamilton, PHARMD
• Brittany Hampton
• Harmony Within Mental Health PLLC

• All providers in Aberdeen, NC
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.