William David Granberry, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3407 Issued in LA

Practice address

1600 West Veterans Memorial Drive
Kaplan, LA 70548

Phone

(337) 643-6400

Fax

(337) 643-6401

NPI assigned

Jan 30, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Luke Mancuso DDS

  • Dental Clinic/Center
  • Kaplan, LA
  • NPI 1316412885
  NPD (past)

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033255609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 WEST VETERANS MEMORIAL DRIVE",
            "city": "KAPLAN",
            "state": "LA",
            "postal_code": "70548",
            "telephone_number": "337-643-6400",
            "fax_number": "337-643-6401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 WEST VETERANS MEMORIAL DRIVE",
            "city": "KAPLAN",
            "state": "LA",
            "postal_code": "70548",
            "telephone_number": "337-643-6400",
            "fax_number": "337-643-6401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANBERRY",
        "first_name": "WILLIAM",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "3407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chiropractic Pain Management & Injury Clinic
• Compass Behavioral Center LLC
• Ai Hau Sandra Dang, MSN, APRN, FNP-C
• Ka'Ryn Nicole Franklin, NP
• Kyrsten Adair Freyou, AGNP-C
• Prashant Gupta, M.D.
• Health Mart of Kaplan Inc
• Health Mart Pharmacy LTC Kaplan
• John Jay Hogan, MD
• Hometowne Healthcare Services LLC

• General Practice Dentistry in Kaplan, LA
• Providers in Kaplan, LA by specialty
• General Practice Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.