Individual provider Active NPI

Grant Maglinger, DMD

  • Dentist
  • Richmond, KY
National Provider Identifier
1912756172
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
11110 Issued in KY
Practice address
401 Highland Park Dr
Richmond, KY 40475-3839
Phone
(859) 626-7700
Fax
(859) 626-7890
NPI assigned
May 17, 2024
Last updated
Sep 2, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 11110 KY Primary

Addresses

Primary practice location

401 Highland Park Dr
Richmond, KY 40475-3839

Mailing address

401 Highland Park Dr
Richmond, KY 40475-3839
Phone (859) 626-7700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20250627003929 KY Order and Referring Only - DentistPractitioner - Dentist 0941713473

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11110KYMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1715904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756771200000",
    "number": "1912756172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 HIGHLAND PARK DR",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404753839",
            "telephone_number": "859-626-7700",
            "fax_number": "859-626-7890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 HIGHLAND PARK DR",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404753839",
            "telephone_number": "859-626-7700",
            "fax_number": "859-626-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGLINGER",
        "first_name": "GRANT",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-17",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "11110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, KY

Sources for this page

Verify at the official NPI Registry.