Keith Grimm, DMD is a medicare enrolled "Dentist - General Practice" provider in Hockley, Texas. His current practice location is
20555 Fm 2920 Rd, Hockley, Texas. You can reach out to his office (for appointments etc.) via phone at
(281) 516-4605.
Keith Grimm is licensed to practice in Texas (license number 20644) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1578781779.
Healthcare Provider's Profile
Full Name | Keith Grimm |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 20555 Fm 2920 Rd, Hockley, Texas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1578781779
- Provider Enumeration Date: 04/23/2007
- Last Update Date: 07/19/2012
Medicare PECOS Information:
- PECOS PAC ID: 4587969985
- Enrollment ID: I20160223001481
Medical Identifiers
Medical identifiers for Keith Grimm such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578781779 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 20644 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Keith Grimm is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Keith Grimm, DMD 20555 Fm 2920 Rd, Hockley, TX 77447-6910 Ph: (281) 516-4605 | Keith Grimm, DMD 20555 Fm 2920 Rd, Hockley, TX 77447-6910 Ph: (281) 516-4605 |
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