NPIMap

Organization Active NPI

Grand Dentistry Arbor

  • Dentist
  • Mandeville, LA
National Provider Identifier
1134488224
Registry record updated May 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
GRAND DENTISTRY ARBOR
Practice address
535 N. Causeway
Mandeville, LA 70448
Phone
(985) 778-0096
NPI assigned
May 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2016

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

Authorized official

Name
Dr. William B Grand, D.D.S.
Title
Dr.
Phone
(985) 624-8602

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X LA Primary

Addresses

Primary practice location

535 N. Causeway
Mandeville, LA 70448

Mailing address

700 Asbury Drive
Mandeville, LA 70471
Phone (985) 778-0096

National Provider Directory

National Provider Directory

Locations

535 N Causeway Blvd
Mandeville, LA 70448
Phone (985) 624-8011

NPI Registry JSON

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

{
    "created_epoch": "1336521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462924800000",
    "number": "1134488224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 ASBURY DRIVE",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "70471",
            "telephone_number": "985-778-0096",
            "fax_number": "985-778-0301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 N. CAUSEWAY",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "70448",
            "telephone_number": "985-778-0096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND DENTISTRY ARBOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-09",
        "last_updated": "2016-05-11",
        "status": "A",
        "authorized_official_last_name": "GRAND",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "985-624-8602",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mandeville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2016; 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.