NPIMap

Organization Active NPI

Grissom Endodontics and Microsurgery, PLLC

  • Endodontics
  • Daphne, AL
National Provider Identifier
1891411658
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
GRISSOM ENDODONTICS AND MICROSURGERY, PLLC
Practice address
27880 N Main St Ste a
Daphne, AL 36526-7080
Phone
(251) 383-3636
Fax
(251) 383-3637
NPI assigned
Oct 13, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

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

Authorized official

Name
Dr. Austyn Cooper Grissom, DMD, MSDNPI 1285127951
Title
Endodontist
Phone
(251) 383-3636

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

27880 N Main St Ste a
Daphne, AL 36526-7080

Mailing address

27880 N Main St Ste a
Daphne, AL 36526-7080
Phone (251) 383-3636

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@grissomendo.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1665619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665619200000",
    "number": "1891411658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27880 N MAIN ST STE A",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365267080",
            "telephone_number": "251-383-3636",
            "fax_number": "251-383-3637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27880 N MAIN ST STE A",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365267080",
            "telephone_number": "251-383-3636",
            "fax_number": "251-383-3637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRISSOM ENDODONTICS AND MICROSURGERY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-13",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A",
        "authorized_official_last_name": "GRISSOM",
        "authorized_official_first_name": "AUSTYN",
        "authorized_official_middle_name": "COOPER",
        "authorized_official_title_or_position": "ENDODONTIST",
        "authorized_official_telephone_number": "251-383-3636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MSD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@grissomendo.com",
            "affiliation": "N",
            "endpointDescription": "Encrypted Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "27880 N Main St Ste A",
            "city": "Daphne",
            "state": "AL",
            "country_code": "US",
            "postal_code": "365267080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Daphne, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; 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.