DR. JOHN COALSON GRISSOM (NPI# 1982729372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982729372 |
| Entity Type | Individual |
| Full Name | DR. JOHN COALSON GRISSOM |
| Credential | DDS |
| Practice Address |
210 N Park Blvd Suite 110 Grapevine TX 76051-6985 |
| Practice Telephone | 8174888175 |
| Practice Fax Number | 8174887995 |
| Mailing Telephone | 8174888175 |
| Mailing Fax Number | 8174887995 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
14639 | TX | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598789513 | John Thomas Grissom II | Anesthesiology | 3066 E Meridian Park Loop # 1, Wasilla, AK 99654-7299 | 2006-07-26 |
| Street Address |
210 N PARK BLVD SUITE 110 |
| City | GRAPEVINE |
| State | TX |
| Zip Code | 76051-6985 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962451484 | Scott D Lauer | Obstetrics & Gynecology | 210 N Park Blvd, Ste 105, Grapevine, TX 76051-6985 | 2006-05-10 |
| 1083963201 | Grapevine Rheumatology Clinic,llc | Clinic/Center | 210 N Park Blvd, Suite 107, Grapevine, TX 76051-6985 | 2012-09-04 |
| 1962783258 | Action Healthcare & Wellness | Chiropractor | 210 N Park Blvd, Suite 105, Grapevine, TX 76051-6985 | 2011-08-31 |
| 1174562565 | Uzma A Syeda | Internal Medicine | 210 N Park Blvd, Grapevine, TX 76051-6985 | 2006-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881227346 | Jeffrey Joseph Cervenka | Physical Therapist | 2421 Ira E Woods Ave #101, Grapevine, TX 76051 | 2020-02-12 |
| 1871137562 | Karen Lorince | Counselor | 2409 N. Support Road, Grapevine, TX 76051 | 2019-11-05 |
| 1548733785 | Jessica Thorman Johnson | Dietitian, Registered | 1056 Texan Trail (fortis Bmi), Grapevine, TX 76051 | 2019-01-10 |
| 1164928958 | Kristen Diou | Counselor | 913 S Church St Ste 103, Grapevine, TX 76051 | 2018-04-02 |
| 1356860597 | Anissa Singratanakul D.m.d, Pllc | Dentist | 1231 William D Tate Suite 400, Grapevine, TX 76051 | 2017-09-19 |
| 1033637665 | James Abraham Thomas | Pharmacy | 1601 W. State Hwy 114, Grapevine, TX 76051 | 2017-09-04 |
| 1437606563 | D'anna Sims | Counselor | 2451 Stone Myers Parkway, #100, Grapevine, TX 76051 | 2016-09-07 |
| 1477006369 | Melinda Jeanne Mashburn | Nurse Practitioner | 1600 West College St., Suite 60, Grapevine, TX 76051 | 2016-07-27 |
| 1437506623 | Allcare Physicians Group | Registered Nurse | 1111 S Main St Ste 119, Grapevine, TX 76051 | 2016-05-18 |
| 1790141745 | Colwick Counseling | Clinic/Center | 1400 W. Northwest Highway Suite 260, Grapevine, TX 76051 | 2016-01-06 |
| Find all providers in zip 76051 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518570035 | Alan Williams | Dentist | 1600 W Northwest Hwy Ste 200, Grapevine, TX 76051-8135 | 2020-08-25 |
| 1356860597 | Anissa Singratanakul D.m.d, Pllc | Dentist | 1231 William D Tate Suite 400, Grapevine, TX 76051 | 2017-09-19 |
| 1679012793 | James Walter | Dentist | 988 Harber Ave, Grapevine, TX 76051-6621 | 2017-02-22 |
| 1447700844 | Share Dentistry Grapevine, Pllc | Dentist | 2100 W Northwest Hwy Ste 204, Grapevine, TX 76051-6936 | 2016-10-10 |
| 1528208568 | Richard Bernard Luczak | Dentist | 1245 S Main St Ste 100, Grapevine, TX 76051-7522 | 2009-03-04 |
| 1700085669 | Smiles for You, Pllc | Dentist | 2350 Hall Johnson Road, Suite #105, Grapevine, TX 76051-6589 | 2007-07-12 |
| 1720209596 | Maria Nivedita Jouvita Fernandes-morais | Dentist | 2900 Hill View Drive, Grapevine, TX 76051-6589 | 2007-05-01 |
| 1720123946 | Peter Grumbos | Dentist | 3032 Mountainview Ct, Grapevine, TX 76051-6326 | 2007-02-21 |
| 1952467102 | Valerie Hubbell | Dentist | 1650 W Northwest Hwy Ste 201, Grapevine, TX 76051-8122 | 2006-12-29 |
| 1720146129 | Donald Zajac | Dentist | 306 S Park Blvd, Grapevine, TX 76051-7835 | 2006-12-05 |
| Find all providers in GRAPEVINE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.