Liel Andy Grinbaum, D.M.D

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

056768 Issued in NY

Practice address

160 E 88TH St Apt 1D
New York, NY 10128-2217

Phone

(516) 680-6915

NPI assigned

May 4, 2012

Sex

Male

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

State licenses

Practice roles

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.

• Little Grins Pediatric Dentistry PLLC

  • Pediatric Dentistry
  • New York, NY
  • NPI 1386300390
  NPD Authorized official
• Smiles and Grins Pediatric Dentistry

  • Pediatric Dentistry
  • New York, NY
  • NPI 1417557059
  NPD Authorized official

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

{
    "created_epoch": "1336089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1861751224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 E 88TH ST APT 1D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101282217",
            "telephone_number": "516-680-6915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 E 88TH ST APT 1D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101282217",
            "telephone_number": "516-680-6915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRINBAUM",
        "first_name": "LIEL",
        "middle_name": "ANDY",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-04",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "056768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa L. Grimm, LCSW
• Sujaan Margaret Grimson, L.AC.
• Michael Grin, MD
• Zachary Grin, PT, DPT
• Karin Grinbaum, DDS
• Shiley Grinbaum, DDS
• Alice Grinberg, PH.D., ED.M.
• Roman Grinberg, M.D.
• Charlotte Grindstaff
• Allyson Grinfeld

• Pediatric Dentistry in New York, NY
• Providers in New York, NY by specialty
• Pediatric Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; 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.