Organization Active NPI

Grandy Podiatry Group

  • Primary Podiatric Medicine Podiatrist
  • Sacramento, CA
National Provider Identifier
1053791509
Registry record updated Aug 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
E3293 Issued in CA
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

Updated by the provider on Aug 22, 2017

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)CodeLicenseStatePrimary
Primary Podiatric Medicine PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.