DR. LISA RENEE GRIMES (NPI# 1306998893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306998893 |
| Entity Type | Individual |
| Full Name | DR. LISA RENEE GRIMES |
| Credential | D.D.S. |
| Practice Address |
1204 W Willow Rd Ste. C Enid OK 73703-2531 |
| Mailing Address |
2020 Indian Dr Enid OK 73703-6711 |
| Practice Telephone | 5802331427 |
| Practice Fax Number | 5802331423 |
| Mailing Telephone | 5802423736 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2019-01-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 5575 | OK | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
10214 | KY | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100043850A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720311 | Lisa Grimes | Technician | 1408 Harrison Ave, Elkins, WV 26241-3325 | 2020-11-04 |
| 1245526532 | Lisa Karen Grimes | Student in an Organized Health Care Education/Training Program | 4760 Sepulveda Blvd, Culver City, CA 90230-4820 | 2011-06-24 |
| Street Address |
1204 W WILLOW RD STE. C |
| City | ENID |
| State | OK |
| Zip Code | 73703-2531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184622235 | Thomas M Nicholas II | Optometrist | 1204 W Willow Rd, Suite A, Enid, OK 73703-2531 | 2005-07-12 |
| 1891082152 | Reitz Neurology Pllc | Specialist | 1204 W Willow Rd, Suite C, Enid, OK 73703-2531 | 2011-07-06 |
| 1487789913 | Nicholas Eye Clinic, Pllc | Optometrist | 1204 W Willow Rd, Suite A, Enid, OK 73703-2531 | 2007-02-23 |
| 1467540674 | Thomas Michael Nicholas | Optometrist | 1204 W Willow Rd, Suite A, Enid, OK 73703-2531 | 2006-10-11 |
| 1083683569 | Lisa Scheyer Matson | Psychiatry & Neurology | 1204 W Willow Rd, Suite B, Enid, OK 73703-2531 | 2006-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851902233 | Gena M Ford | Massage Therapist | 2117 W Owen K Garriot, Inside Beyond Beauty, Enid, OK 73703 | 2020-08-11 |
| 1396270351 | Zoom Diagnostic Imaging LLC | Clinic/Center | 1113 West Cherry Ave, Enid, OK 73703 | 2017-04-27 |
| 1083154173 | Amanda Percival, Pllc | Counselor | 1420 W Owen K. Garriott Bldg 1, Enid, OK 73703 | 2017-03-08 |
| 1972934297 | Ty Stroble | Behavioral Analyst | 408 N Oakwood, Apt.13d, Enid, OK 73703 | 2013-12-12 |
| 1801132204 | Ryan Patrick Williams | Dentist | 2510 W Chestnut Ave, Ste A, Enid, OK 73703 | 2012-12-13 |
| 1295094720 | Heather Jeanette Linder | Counselor | 2700 N. Vanburen, Trailer 240, Enid, OK 73703 | 2012-05-03 |
| 1366729477 | Karen Lynn Harris | Counselor | 1625 W. Garriot, Suite F, Enid, OK 73703 | 2011-11-03 |
| 1659666501 | Courtney Michelle Pike | Behavioral Analyst | 1625 West Owen K Garriott Road # F, Enid, OK 73703 | 2011-06-17 |
| 1194040089 | Erin K. Roberts, Dds, Plc | Dentist | 1402 N Van Buren, Enid, OK 73703 | 2010-04-02 |
| 1770812109 | Tabitha Janel Simon | Counselor | 529 North Grand, Enid, OK 73703 | 2009-12-14 |
| Find all providers in zip 73703 | ||||
| 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 |
|---|---|---|---|---|
| 1902269640 | Dr. Roger Andrews, Pllc | Dentist | 3521 W Owen K Garriott Rd, Enid, OK 73703-4910 | 2016-03-31 |
| 1194040089 | Erin K. Roberts, Dds, Plc | Dentist | 1402 N Van Buren, Enid, OK 73703 | 2010-04-02 |
| 1225203730 | John A. Thomas Dds | Dentist | 621 S. Harding, Enid, OK 73703-6319 | 2008-04-25 |
| 1497920904 | Dr. Paul Thomas | Dentist | 621 S Harding St Ste B, Enid, OK 73703-6319 | 2008-04-25 |
| 1750555355 | Dental Solutions LLC | Dentist | 615 E Oklahoma Ave Ste 103, Enid, OK 73701-5952 | 2008-04-15 |
| 1659416808 | Dennis P. Morehart | Dentist | 2411 Heritage Trl, Suite #4, Enid, OK 73703-1639 | 2007-02-21 |
| 1386794840 | Roy E Scott | Dentist | My Dentist 4125 W Owen K Garriott Rd, Enid, OK 73703-4820 | 2007-01-10 |
| 1639237910 | James Knittle Hesser | Dentist | 1921 W Owen K Garriott Rd, Enid, OK 73703-5528 | 2006-12-05 |
| 1881783421 | Gunnar W Anderson | Dentist | 623 W Broadway Ave, Enid, OK 73701-3843 | 2006-10-12 |
| 1609880681 | Kurt Grieshober | Dentist | 1633 W Owen K Garriott Rd, Suite D, Enid, OK 73703-5600 | 2006-07-28 |
| Find all providers in ENID | ||||
Please comment or provide details below to improve the information on DR. LISA RENEE GRIMES.
| 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.