Active NPI
Grandy Podiatry Group
- Primary Podiatric Medicine Podiatrist
- Sacramento, CA
National Provider Identifier
1053791509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- License
- E3293
- Legal business name
- GRANDY PODIATRY GROUP
- Practice address
- 730 46TH St
Sacramento, CA 95819-3149 - Phone
- (916) 548-7837
- Fax
- (209) 473-1405
- NPI assigned
- May 30, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Dennis W Grandy, D.P.M.
- Title
- Podiatrist
- Phone
- (916) 548-7837
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | E3293 | CA | Primary |
Addresses
Primary practice location
730 46TH St
Sacramento, CA 95819-3149
Mailing address
PO Box 191513
Sacramento, CA 95819-7513
Phone (916) 548-7837
National Provider Directory
National Provider DirectoryLocations
1361 Martin Dr
Auburn, CA 95603
Phone (530) 885-9613
1550 3rd St
Lincoln, CA 95648
Phone (916) 645-6942
1755 W Hammer Ln
Ste 7B
Stockton, CA 95209
Phone (209) 473-8125
4545 Shelley Ct
Stockton, CA 95207
Phone (209) 477-0271
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432944000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1503360000000",
"number": "1053791509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 191513",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958197513",
"telephone_number": "916-548-7837",
"fax_number": "209-473-1405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "730 46TH ST",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958193149",
"telephone_number": "916-548-7837",
"fax_number": "209-473-1405"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRANDY PODIATRY GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2015-05-30",
"last_updated": "2017-08-22",
"status": "A",
"authorized_official_last_name": "GRANDY",
"authorized_official_first_name": "DENNIS",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "PODIATRIST",
"authorized_official_telephone_number": "916-548-7837",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.P.M."
},
"taxonomies": [
{
"code": "213EP1101X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "CA",
"license": "E3293",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.