Active NPI
Daley Lynn Harvey Grinnis, DDS
- Dentist
- Jacksonville, AR
National Provider Identifier
1700525284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 4595
- Practice address
- 308 N James St
Jacksonville, AR 72076-4018 - Phone
- (501) 436-0355
- NPI assigned
- Jun 2, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 4595 | AR | Primary |
Addresses
Primary practice location
308 N James St
Jacksonville, AR 72076-4018
Mailing address
24 Spring St
Cabot, AR 72023-2473
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 |
|---|---|---|---|
| 4595 | AR | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781568000000",
"number": "1700525284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 SPRING ST",
"city": "CABOT",
"state": "AR",
"postal_code": "720232473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "308 N JAMES ST",
"city": "JACKSONVILLE",
"state": "AR",
"postal_code": "720764018",
"telephone_number": "501-436-0355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARVEY GRINNIS",
"first_name": "DALEY",
"middle_name": "LYNN",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-02",
"last_updated": "2026-06-16",
"certification_date": "2026-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AR",
"license": "4595",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.