Grenada Dental Associates

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1896-80 Issued in MS

Legal business name

GRENADA DENTAL ASSOCIATES

Practice address

2117 Commerce St
Grenada, MS 38901-5400

Phone

(662) 226-6014

Fax

(662) 226-9986

NPI assigned

Aug 12, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Ginger Payne

Title

Office

Phone

(662) 226-6014

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James R Philley, DMD

  • General Practice Dentistry
  • Grenada, MS
  • NPI 1467572206
  NPD (past)

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

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1578719399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2117 COMMERCE ST",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "389015400",
            "telephone_number": "662-226-6014",
            "fax_number": "662-226-9986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2117 COMMERCE ST",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "389015400",
            "telephone_number": "662-226-6014",
            "fax_number": "662-226-9986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRENADA DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-12",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "GINGER",
        "authorized_official_title_or_position": "OFFICE",
        "authorized_official_telephone_number": "662-226-6014",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "1896-80",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "1912-80",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1467572206",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1619018462",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grandcare
• Grenada Adult Healthcare Clinic PC.
• Grenada Anesthesiology Inc.
• Grenada Cardiology LLC
• Grenada Clinic for Women, PA
• Grenada Dental Clinic PLLC
• Grenada Diagnostic Radiology
• Grenada Diagnostic Sleep Center, LLC
• Grenada Emergency Group, LLC
• Grenada Family Chiropractic Inc

• General Practice Dentistry in Grenada, MS
• Providers in Grenada, MS by specialty
• General Practice Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; 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.