Active NPI
Peter Bartholomew Grinc, DDS
- General Practice Dentistry
- Washington, DC
National Provider Identifier
1770085599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DEN1001991
- Practice address
- 1120 19TH St NW Ste 400
Washington, DC 20036-3661 - Phone
- (202) 833-1111
- NPI assigned
- Mar 7, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DEN1001991 | DC | Primary |
Addresses
Primary practice location
1120 19TH St NW Ste 400
Washington, DC 20036-3661
Mailing address
1120 19TH St NW Ste 400
Washington, DC 20036-3661
Phone (202) 833-1111
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 |
|---|---|---|---|
| DEN1001991 | DC | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581379200000",
"number": "1770085599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 19TH ST NW STE 400",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200363661",
"telephone_number": "202-833-1111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 19TH ST NW STE 400",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200363661",
"telephone_number": "202-833-1111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRINC",
"first_name": "PETER",
"middle_name": "BARTHOLOMEW",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-07",
"last_updated": "2020-02-11",
"certification_date": "2020-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "DC",
"license": "DEN1001991",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.