Edgardo Arturo Grande, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN 16247 Issued in FL

Practice address

340 Royal Poinciana Way
Suite 309
Palm Beach, FL 33480-4048

Phone

(561) 832-6647

Fax

(561) 832-6828

NPI assigned

Jul 17, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• American Mobile Dermatology LLC

  • Specialist
  • Boynton Beach, FL
  • NPI 1821125584
  NPD (past)
• Count & Countess de Hoernle Alzheimer'S Pavilion

  • Assisted Living Facility
  • Deerfield Beach, FL
  • NPI 1164688651
  NPD (past)
• Lake Pointe Investors LLC

  • Skilled Nursing Facility
  • Sarasota, FL
  • NPI 1770584211
  NPD (past)
• Vericare of Florida, Inc.

  • Clinical Psychologist
  • Indianapolis, IN
  • NPI 1336189034
  NPD (past)

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1063439610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 ROYAL POINCIANA WAY",
            "address_2": "SUITE 309",
            "city": "PALM BEACH",
            "state": "FL",
            "postal_code": "334804048",
            "telephone_number": "561-832-6647",
            "fax_number": "561-832-6828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 ROYAL POINCIANA WAY",
            "address_2": "SUITE 309",
            "city": "PALM BEACH",
            "state": "FL",
            "postal_code": "334804048",
            "telephone_number": "561-832-6647",
            "fax_number": "561-832-6828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANDE",
        "first_name": "EDGARDO",
        "middle_name": "ARTURO",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 16247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE DENTAL LICENSE",
            "identifier": "DN 16247",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gentleorthotics LLC
• Geoffrey M Day DPM PC
• Jerome Glazer, M.D.
• Salma Gozusulu, ARNP, FNP, NP
• Grace'S Way
• Ashley Green, PA-C
• Randolph Hobson Guthrie, MD
• H M Simkin, OD, PA
• Barbara Lazara Hernandez, LMHC
• Peter H Hibberd, MD

• General Practice Dentistry in Palm Beach, FL
• Providers in Palm Beach, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.