NPIMap

Organization Active NPI

Grant Davis Dental Associates PC

Doing business as Grant Davis Gribble Dental

  • General Practice Dentistry
  • Albuquerque, NM
National Provider Identifier
1013039528
Registry record updated May 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
GRANT DAVIS DENTAL ASSOCIATES PC
Doing business as
Grant Davis Gribble Dental
Practice address
3610 Calle Cuervo NW
Albuquerque, NM 87114-8904
Phone
(505) 898-1976
Fax
(505) 792-0708
NPI assigned
Apr 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2016

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

Authorized official

Name
Dr. John Davis, DDSNPI 1912122912
Title
Vice President
Phone
(505) 898-1976

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

3610 Calle Cuervo NW
Albuquerque, NM 87114-8904

Mailing address

3610 Calle Cuervo NW
Albuquerque, NM 87114-8904
Phone (505) 898-1976

Other names 1

  • Grant Davis Gribble Dental Doing business as

National Provider Directory

National Provider Directory

Locations

3610 Calle Cuervo NW
Albuquerque, NM 87114
Phone (505) 898-1976

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463961600000",
    "number": "1013039528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3610 CALLE CUERVO NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871148904",
            "telephone_number": "505-898-1976",
            "fax_number": "505-792-0708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3610 CALLE CUERVO NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871148904",
            "telephone_number": "505-898-1976",
            "fax_number": "505-792-0708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANT DAVIS DENTAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2016-05-23",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "505-898-1976",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grant Davis Gribble Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2016; 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.