Grimes Pediatric Dentistry P C

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

GRIMES PEDIATRIC DENTISTRY P C

Doing business as

Grimes Pediatric Dentistry

Practice address

1551 SE 3Rd St Ste 100
Grimes, IA 50111-8861

Phone

(515) 325-1719

Fax

(515) 373-4883

NPI assigned

Apr 15, 2019

Last updated

Apr 15, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Emmy Montes

Title

Cbo Manager

Phone

(563) 552-0053

Specialties & licenses 1

Addresses

Other names 1

• Grimes Pediatric Dentistry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nicholas Wade Barnard, DDS

  • Pediatric Dentistry
  • Grimes, IA
  • NPI 1821433160
  NPD (past)

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

{
    "created_epoch": "1555286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555286400000",
    "number": "1659934701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 MAIN ST STE 100",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520017654",
            "telephone_number": "563-582-1448",
            "fax_number": "563-726-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 SE 3RD ST STE 100",
            "city": "GRIMES",
            "state": "IA",
            "postal_code": "501118861",
            "telephone_number": "515-325-1719",
            "fax_number": "515-373-4883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRIMES PEDIATRIC DENTISTRY P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-15",
        "last_updated": "2019-04-15",
        "status": "A",
        "authorized_official_last_name": "MONTES",
        "authorized_official_first_name": "EMMY",
        "authorized_official_title_or_position": "CBO MANAGER",
        "authorized_official_telephone_number": "563-552-0053"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grimes Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Candice Glynn, CCC-SLP
• Amanda Godfrey
• Matthew Goes, PT
• Anna Gray, MPT
• Grimes Dental Enterprises, LLC
• Derek Groathouse, RD
• Grove and Platt Dental Associates PLC
• Jennifer Leigh Grove, D.D.S.
• GRX Holdings LLC (Medicap Pharmacy)
• GRX Holdings LLC (Medicap Pharmacy)

• Pediatric Dentistry in Grimes, IA
• Providers in Grimes, IA by specialty
• Pediatric Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.