Individual provider Active NPI

Daniel Piner Grilli, D.D.S

  • Pediatric Dentistry
  • Webster, TX
National Provider Identifier
1952525925
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
15986 Issued in TX
Practice address
17100 Glenmount Park Dr
Suite a
Webster, TX 77598-4368
Phone
(281) 488-2483
Fax
(281) 488-3416
NPI assigned
Apr 12, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 15986 TX Primary

Addresses

Primary practice location

17100 Glenmount Park Dr
Suite a
Webster, TX 77598-4368

Mailing address

17100 Glenmount Park Dr
Suite a
Webster, TX 77598-4368
Phone (281) 488-2483

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

LicenseStateTypeSpecialty
15986TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Adult & Children Dental Partners PA Pediatric Dentistry Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952525925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17100 GLENMOUNT PARK DR",
            "address_2": "SUITE A",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984368",
            "telephone_number": "281-488-2483",
            "fax_number": "281-488-3416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17100 GLENMOUNT PARK DR",
            "address_2": "SUITE A",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984368",
            "telephone_number": "281-488-2483",
            "fax_number": "281-488-3416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRILLI",
        "first_name": "DANIEL",
        "middle_name": "PINER",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "15986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, TX

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.