Active NPI
Grant McKinley Sprinkle, DDS
- Dentist
- Salem, VA
National Provider Identifier
1609966894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0401005779
- Practice address
- 511 Roanoke Blvd
Salem, VA 24153-5006 - Phone
- (540) 389-0330
- Fax
- (540) 387-0746
- NPI assigned
- Oct 16, 2006
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 0401005779 | VA | Primary |
Addresses
Primary practice location
511 Roanoke Blvd
Salem, VA 24153-5006
Mailing address
511 Roanoke Blvd
Salem, VA 24153-5006
Phone (540) 389-0330
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 |
|---|---|---|---|
| 0401005779 | VA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr G Sprinkle | 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.
-
- Dental Clinic/Center
- Salem, VA
- NPI 1588805808
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609966894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "511 ROANOKE BLVD",
"city": "SALEM",
"state": "VA",
"postal_code": "241535006",
"telephone_number": "540-389-0330",
"fax_number": "540-387-0746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 ROANOKE BLVD",
"city": "SALEM",
"state": "VA",
"postal_code": "241535006",
"telephone_number": "540-389-0330",
"fax_number": "540-387-0746"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPRINKLE",
"first_name": "GRANT",
"middle_name": "MCKINLEY",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401005779",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salem, VA
- Bertram Spetzler, MD
- Spinal Care and Wellness Center (Back Resort)
- Maggie Beehner Spracher, P.A.
- Spring Ridge Consultation Services, P.C. (Salem Family Medicine)
- Springhealth Behavioral Health and Integrated Care Virginia, LLC
- Bruce Alfred St Amour Jr., D.O.
- Jenna St Pierre, PHARMD
- Kelly Stainbrook, DO
- Andrea Danielle Stanley, NP-C
- Shannon B Stanley, FNP-C
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.