Active NPI
Jamie Alan Grider, D.D.S.
- Durable Medical Equipment & Medical Supplies
- Murfreesboro, TN
National Provider Identifier
1922078393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 8431
- Practice address
- 2863 Old Fort Pkwy Ste C
Murfreesboro, TN 37128-4418 - Phone
- (615) 867-1735
- NPI assigned
- Jan 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN012683 | GA | |
| General Practice Dentistry | 1223G0001X | DS0000008431 | TN | |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 8431 | TN | Primary |
Addresses
Primary practice location
2863 Old Fort Pkwy Ste C
Murfreesboro, TN 37128-4418
Mailing address
2863 Old Fort Pkwy Ste C
Murfreesboro, TN 37128-4418
Phone (615) 867-1735
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 |
|---|---|---|---|
| DN012683 | GA | MD | General Practice Dentistry |
| DS0000008431 | TN | MD | General Practice Dentistry |
| 8431 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Snore Prevention Solutions LLC | Durable Medical Equipment & Medical Supplies | Current | Accepting new patients |
| Legacy Family Dental | Past | Accepting new patients |
Locations
2863 Old Fort Pkwy
Ste C
Murfreesboro, TN 37128
Phone (615) 867-1735
Organizations & group practices 2
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.
-
- Durable Medical Equipment & Medical Supplies
- Murfreesboro, TN
- NPI 1396353769
-
- Dentist
- Murfreesboro, TN
- NPI 1336528207
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595289600000",
"number": "1922078393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2863 OLD FORT PKWY STE C",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371284418",
"telephone_number": "615-867-1735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2863 OLD FORT PKWY STE C",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371284418",
"telephone_number": "615-867-1735"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIDER",
"first_name": "JAMIE",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-26",
"last_updated": "2020-07-21",
"certification_date": "2020-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "GA",
"license": "DN012683",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TN",
"license": "DS0000008431",
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "TN",
"license": "8431",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Murfreesboro, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.