Shari Laron Grigsby-Young, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7771 Issued in NC

Practice address

10922 S Tryon St
Suite D
Charlotte, NC 28273-4151

Phone

(704) 504-0999

Fax

(704) 583-0092

NPI assigned

Jun 24, 2005

Last updated

Nov 30, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Shari L. Grigsby DDS PA

  dba Destination Dentistry

  • Dental Clinic/Center
  • Charlotte, NC
  • NPI 1063736114
  NPD (past) Authorized official

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448841600000",
    "number": "1770589616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10922 S TRYON ST",
            "address_2": "SUITE D",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282734151",
            "telephone_number": "704-504-0999",
            "fax_number": "704-583-0092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10922 S TRYON ST",
            "address_2": "SUITE D",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282734151",
            "telephone_number": "704-504-0999",
            "fax_number": "704-583-0092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIGSBY-YOUNG",
        "first_name": "SHARI",
        "middle_name": "LARON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-24",
        "last_updated": "2015-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Philip Griggs Jr., MD
• Katrina Griggs, MSW, LCSWA
• Mary Jane Griggs, CRNA
• Richard Charley Griggs, M.D.
• Sheryl Griggs, PT
• Kalessa Grigsby
• Sara Yeager Grigston, NP
• Kelly Marie Grim, AU.D
• Allison Marie Grimaldi, OTR/L
• Kyle Francis Grimaldi, M.D.

• General Practice Dentistry in Charlotte, NC
• Providers in Charlotte, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2015; 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.