Individual provider Active NPI

Kevin Grill, DDS

  • Dentist
  • Marion, OH
National Provider Identifier
1548616592
Registry record updated Oct 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30.24716 Issued in OH
Practice address
1241 E Center St
Marion, OH 43302-4446
Phone
(740) 387-4804
NPI assigned
May 9, 2016
Last updated
Oct 10, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30.24716 OH Primary

Addresses

Primary practice location

1241 E Center St
Marion, OH 43302-4446

Mailing address

1241 E Center St
Marion, OH 43302-4446
Phone (740) 387-4804

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

LicenseStateTypeSpecialty
30.24716OHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Kevin Grill DDS, LLC Current Accepting new patients
Kevin Grill DDS Marysville LLC Current Accepting new patients
Marion Dental Associates Inc Dentist PastSince Oct 13, 2019 Accepting new patients
Bellefontaine Dental, Mark R. Bedford, DDS, LLC Dentist Past Accepting new patients
Marion Dental Associates Sandu LLC PastSince Oct 13, 2019 Accepting new patients
Sarah E. Ash. DDS. LLC Past Accepting new patients

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1462752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570665600000",
    "number": "1548616592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1241 E CENTER ST",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433024446",
            "telephone_number": "740-387-4804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1241 E CENTER ST",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433024446",
            "telephone_number": "740-387-4804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRILL",
        "first_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-09",
        "last_updated": "2019-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.24716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2019; 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.