Active NPI
David Howard Grinsfelder, DDS
- General Practice Physician
- Dallas, TX
National Provider Identifier
1609976430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 11606
- Practice address
- 9262 Forest Lane
Suite 100
Dallas, TX 75243 - Phone
- (214) 349-2160
- Fax
- (214) 221-1103
- NPI assigned
- Sep 22, 2006
- Sex
- Male
- 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 Physician | 208D00000X | 11606 | TX | Primary |
Addresses
Primary practice location
9262 Forest Lane
Suite 100
Dallas, TX 75243
Mailing address
9262 Forest Lane
Suite 100
Dallas, TX 75243
Phone (214) 349-2160
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 |
|---|---|---|---|
| 11606 | TX | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Meadow Dental Group PLLC | 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.
-
- Dentist
- Dallas, TX
- NPI 1578066403
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609976430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9262 FOREST LANE",
"address_2": "SUITE 100",
"city": "DALLAS",
"state": "TX",
"postal_code": "75243",
"telephone_number": "214-349-2160",
"fax_number": "214-221-1103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9262 FOREST LANE",
"address_2": "SUITE 100",
"city": "DALLAS",
"state": "TX",
"postal_code": "75243",
"telephone_number": "214-349-2160",
"fax_number": "214-221-1103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRINSFELDER",
"first_name": "DAVID",
"middle_name": "HOWARD",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "TX",
"license": "11606",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
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.