Individual provider Active NPI

Zamon Ariel Granger

  • Private Vehicle
  • Silver Spring, MD
National Provider Identifier
1003302233
Registry record updated Jul 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Private VehicleTaxonomy code 347C00000X
License
G-652-974-071-113 Issued in MS
Practice address
11633 Veirs Mill Rd
Silver Spring, MD 20902
Phone
(601) 888-0505
NPI assigned
Jul 11, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Private Vehicle 347C00000X G-652-974-071-113 MS Primary

Addresses

Primary practice location

11633 Veirs Mill Rd
Silver Spring, MD 20902

Mailing address

11633 Veirs Mill Rd
Silver Spring, MD 20902-2428
Phone (601) 888-0505

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
G-652-974-071-113MSMDPrivate Vehicle

Practice roles

OrganizationSpecialtyStatusNew patients
Granger LLC 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1531267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532995200000",
    "number": "1003302233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11633 VEIRS MILL RD",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209022428",
            "telephone_number": "601-888-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11633 VEIRS MILL RD",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "20902",
            "telephone_number": "601-888-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANGER",
        "first_name": "ZAMON",
        "middle_name": "ARIEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-11",
        "last_updated": "2018-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "MS",
            "license": "G-652-974-071-113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2018; 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.