Grant Y Nakamura, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

32057 Issued in MT

Practice address

144 2ND St E Ste 101
Whitefish, MT 59937-2402

Phone

(406) 304-6898

Fax

(406) 235-7079

NPI assigned

Aug 15, 2006

Sex

Male

Sole proprietor

Yes

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

Enrolled in MT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1144233552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 2ND ST E STE 101",
            "city": "WHITEFISH",
            "state": "MT",
            "postal_code": "599372402",
            "telephone_number": "406-304-6898",
            "fax_number": "406-235-7079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 2ND ST E STE 101",
            "city": "WHITEFISH",
            "state": "MT",
            "postal_code": "599372402",
            "telephone_number": "406-304-6898",
            "fax_number": "406-235-7079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAKAMURA",
        "first_name": "GRANT",
        "middle_name": "Y",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "32057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "077068000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer R Mulkey, LMT
• Daniel E Munzing, MD
• Erin Murray, LCPC
• David Nadel, LAC
• Jillian Rose Nail, OTR
• Sarah E Nargi, MD
• Natural Transformations, LLC
• Kathryn H Neff, MD
• Gloria Irene Nelson, OTR/L
• Michael John Nelson, LMT

• Family Medicine Physician in Whitefish, MT
• Providers in Whitefish, MT by specialty
• Family Medicine Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.