Active NPI
Finley Jay Grant, D.D.S.
- General Practice Dentistry
- Moses Lake, WA
National Provider Identifier
1053510156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DE00005794
- Practice address
- 1039 W Broadway Ave
Moses Lake, WA 98837-2604 - Phone
- (509) 765-6622
- NPI assigned
- Jul 17, 2007
- Last updated
- Jul 17, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DE00005794 | WA | Primary |
Addresses
Primary practice location
1039 W Broadway Ave
Moses Lake, WA 98837-2604
Mailing address
1039 W Broadway Ave
Moses Lake, WA 98837-2604
Phone (509) 765-6622
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
| License | State | Type | Specialty |
|---|---|---|---|
| DE00005794 | WA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184630400000",
"number": "1053510156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1039 W BROADWAY AVE",
"city": "MOSES LAKE",
"state": "WA",
"postal_code": "988372604",
"telephone_number": "509-765-6622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1039 W BROADWAY AVE",
"city": "MOSES LAKE",
"state": "WA",
"postal_code": "988372604",
"telephone_number": "509-765-6622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANT",
"first_name": "FINLEY",
"middle_name": "JAY",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-17",
"last_updated": "2007-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "DE00005794",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moses Lake, WA
- Grant County Public Hospital District 1 (Samaritan Hospitalist Group)
- Grant County Public Hospital District 1 (Samaritan Clinic on Patton)
- Grant County Public Hospital District 1 (Samaritan Clinic)
- Grant County Public Hospital District 1 (Samaritan)
- Grant Cty Fire Protecct Dist
- Jalicia Chanel Green, CBT
- Brett A Greenburg, PA-C
- Richard Greer, CRNA
- Gregg M Jones (Covey Chiropractic)
- Heather Ann Griffin, MASSAGE PRACTITIONER
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.