Individual provider Active NPI

Eric Jonathan Grin, DDS

  • Dentist
  • Torrance, CA
National Provider Identifier
1629622014
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
104132 Issued in CA
Practice address
3475 Torrance Blvd Ste H
Torrance, CA 90503-5800
Phone
(310) 933-3077
NPI assigned
Jul 24, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 104132 CA Primary

Addresses

Primary practice location

3475 Torrance Blvd Ste H
Torrance, CA 90503-5800

Mailing address

3475 Torrance Blvd Ste H
Torrance, CA 90503-5800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250226001619 CA Practitioner - Orofacial Pain 0547780108 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orofacial Pain
Education
Univ of Calif, Los Angeles School of Dentistry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3475 Torrance Blvd
Suite H
Torrance, CA 90503-5800
Phone (310) 933-3077

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
104132CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Eric J Grin DDS Ms a Prof Corp CurrentSince Dec 24, 2024 Accepting new patients

Locations

3475 Torrance Blvd
Ste H
Torrance, CA 90503
Phone (310) 543-4354

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.

NPI Registry JSON

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

{
    "created_epoch": "1563926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1629622014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3475 TORRANCE BLVD STE H",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905035800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3475 TORRANCE BLVD STE H",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905035800",
            "telephone_number": "310-933-3077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIN",
        "first_name": "ERIC",
        "middle_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-24",
        "last_updated": "2025-09-11",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "104132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.