Individual provider Active NPI

Katherine A. Grigg, DDS

  • Dentist
  • Marion, NC
National Provider Identifier
1720106412
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
07837 Issued in NC
Practice address
2218 Rutherford Rd Ste a
Marion, NC 28752-5368
Phone
(828) 654-2731
NPI assigned
Mar 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 07837 NC Primary

Addresses

Primary practice location

2218 Rutherford Rd Ste a
Marion, NC 28752-5368

Mailing address

598 Oak Ave
Spruce Pine, NC 28777-2728
Phone (828) 765-9002

Other identifiers 5

IdentifierTypeStateIssuer
013T0OtherNCMARION BCBS GROUP#
013CHOtherNCMORGANTON BCBS GROUP#
5900697MedicaidNC
89013T0OtherNCMARION MEDICAID GROUP#
89013CHOtherNCMORGANTON MEDICAID GROUP#

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20160121001998 NC Order and Referring Only - DentistPractitioner - Dentist 6305149501

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
07837NCMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Barroso-Bernier DDS PLLC General Practice CurrentSince Nov 19, 2023 Accepting new patients

Locations

2218 Rutherford Rd
#A
Marion, NC 28752
Phone (828) 652-2731

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": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1720106412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "598 OAK AVE",
            "city": "SPRUCE PINE",
            "state": "NC",
            "postal_code": "287772728",
            "telephone_number": "828-765-9002",
            "fax_number": "828-765-1614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2218 RUTHERFORD RD STE A",
            "city": "MARION",
            "state": "NC",
            "postal_code": "287525368",
            "telephone_number": "828-654-2731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIGG",
        "first_name": "KATHERINE",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "07837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARION BCBS GROUP#",
            "identifier": "013T0",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MORGANTON BCBS GROUP#",
            "identifier": "013CH",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5900697",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARION MEDICAID GROUP#",
            "identifier": "89013T0",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MORGANTON MEDICAID GROUP#",
            "identifier": "89013CH",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, NC

Sources for this page

Verify at the official NPI Registry.