Richard Michael Grassmyer, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12008309 Issued in IN

Practice address

200 E Hackberry St
Salem, IN 47167-2208

Phone

(812) 883-3202

Fax

(812) 883-1630

NPI assigned

Oct 16, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Enrolled in IN

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942380803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 465",
            "address_2": "200 EAST HACKBERRY STREET",
            "city": "SALEM",
            "state": "IN",
            "postal_code": "471670465",
            "telephone_number": "812-883-3202",
            "fax_number": "812-883-1630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E HACKBERRY ST",
            "city": "SALEM",
            "state": "IN",
            "postal_code": "471672208",
            "telephone_number": "812-883-3202",
            "fax_number": "812-883-1630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRASSMYER",
        "first_name": "RICHARD",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12008309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Audra Kate Gerkin, PTA
• Rhonda M Gibson, PTA
• Sarah Gill, PMHNP
• Holly Glordan
• Good Living Inc (Good Living Pharmacy)
• Sarah Elizabeth Grundhoefer, L.C.S.W.
• Mallery Haendiges, NP
• Sara E Hall, PHARM D
• Brittany Hampton, FNP-BC
• Amanda Harritt, APRN, FNP-C

• General Practice Dentistry in Salem, IN
• Providers in Salem, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.