Just for Grins, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JUST FOR GRINS, PC

Practice address

1941 Euclid Ave
Bristol, VA 24201-3607

Phone

(276) 494-0508

Fax

(276) 494-0508

NPI assigned

Dec 21, 2018

Organization subpart

No

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

Authorized official

Name

William Hartel, DMD

Title

Dentist/Owner

Phone

(276) 494-0508

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1545350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545350400000",
    "number": "1700358231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1941 EUCLID AVE",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "242013607",
            "telephone_number": "276-494-0508",
            "fax_number": "276-494-0508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 EUCLID AVE",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "242013607",
            "telephone_number": "276-494-0508",
            "fax_number": "276-494-0508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUST FOR GRINS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-21",
        "last_updated": "2018-12-21",
        "status": "A",
        "authorized_official_last_name": "HARTEL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "276-494-0508",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2018; 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.