1. Home
  2. Directory
  3. Alabama
  4. Huntsville
  5. Dentist
  6. NPI Profile

DR. EMILY ANNE LATTA GRISHAM D.M.D
NPI 1114309705
Dentist - Pediatric Dentistry in Huntsville, AL

Active since June 19, 2015Opted out of Medicare · through May 16, 2028
4001 BALMORAL DR SW, HUNTSVILLE, AL 35801(256) 539-7447 Get Directions Write a Review

NPPES record last updated: June 18, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 18, 2019, Jun 19, 2017, Dec 27, 2016 (3 updates tracked since 2016).

About Dr. Emily Anne Latta Grisham D.m.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. EMILY ANNE LATTA GRISHAM D.M.D (NPI 1114309705) is an individual pediatric dentistry provider in Huntsville, Alabama, licensed in Alabama (6215) and active in the NPI registry since June 2015. She has opted out of Medicare through May 16, 2028 and remains eligible to order and refer and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1114309705
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameDR. EMILY ANNE LATTA GRISHAMCredential: D.M.D
Location Address4001 BALMORAL DR SWHuntsville, AL 35801-6403
Mailing Address4001 Balmoral Dr SwHuntsville, AL 35801-6403 · (256) 539-7447
Phone(256) 539-7447
Sole ProprietorNo
Enumeration DateJune 19, 2015
Last NPPES UpdateJune 18, 20193 updates tracked since enumeration
✔ NPI 1114309705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in AL · 6215
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 6215 (AL)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4001 BALMORAL DR SW, Huntsville, AL 35801
Open in Google Maps ↗

Secondary Practice Locations 3

Location 12699 Sandlin Rd SW Ste B7Decatur, AL 35601-7343 · Phone (256) 280-9755
Location 26727 Highway 431 SOwens Cross Roads, AL 35763-9225 · Phone (256) 693-8900
Location 324 Hughes RdMadison, AL 35758-2220 · Phone (256) 772-7373

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Emily Anne Latta Grisham D.m.d has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 16, 2016 through May 16, 2028.

Opt-Out Effective DateMay 16, 2016
Opt-Out In Effect ThroughMay 16, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35801 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RICHARD MASON BUTLER JR. D.D.S.
Dentist (Pediatric Dentistry)
4001 BALMORAL DR SW
HUNTSVILLE, AL 35801
Madison County (256) 539-7447
TODD L LACKEY D.D.S.
Dentist (Pediatric Dentistry)
4001 BALMORAL DR SW
HUNTSVILLE, AL 35801
Madison County (256) 539-7447
DR. KEVIN DWIGHT TESSENEER D.M.D., M.S.
Dentist (Orthodontics and Dentofacial Orthopedics)
4001 BALMORAL DR SW
HUNTSVILLE, AL 35801
Madison County (256) 539-7447
DR. BRENT MARC MASTERSON DDS
Dentist (Pediatric Dentistry)
4001 BALMORAL DR SW
HUNTSVILLE, AL 35801
Madison County (256) 539-7447
PAUL WAYNE SPROUL DMD
Dentist (Orthodontics and Dentofacial Orthopedics)
4001 BALMORAL DR SW
HUNTSVILLE, AL 35801
Madison County (256) 539-7447
ALABAMA PEDIATRIC DENTAL ASSOCIATES AND ORTHODONTICS
Dentist (Pediatric Dentistry)
4001 BALMORAL DR SW
HUNTSVILLE, AL 35801
Madison County (256) 539-7447
DR. DEAN CORBLY BRANDON D.M.D.
Dentist (Pediatric Dentistry)
4001 BALMORAL DR SW
HUNTSVILLE, AL 35801
Madison County (256) 539-7447

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Emily Grisham's NPI number?

The NPI number for Emily Grisham is 1114309705. It was assigned to this individual provider in the NPPES registry on June 19, 2015.

Where is Emily Grisham located?

Emily Grisham practices at 4001 Balmoral Dr SW, Huntsville, AL 35801. The listed phone number is (256) 539-7447.

What is Emily Grisham's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Emily Grisham enrolled in Medicare?

No. Emily Grisham has opted out of Medicare through May 16, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Emily Grisham accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and TRUASSURE INSURANCE COMPANY list Emily Grisham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Emily Grisham was last updated on June 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.