Grant Raymond Willcox, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30043 Issued in CA

Practice address

200 S El Molino Ave
#3
Pasadena, CA 91101-2985

Phone

(626) 449-2996

Fax

(626) 449-3431

NPI assigned

Mar 9, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Kimberly Foon, DDS

  • Dental Clinic/Center
  • Pasadena, CA
  • NPI 1508726910
  NPD (past)

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225160971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S EL MOLINO AVE",
            "address_2": "#3",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012985",
            "telephone_number": "626-449-2996",
            "fax_number": "626-449-3431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S EL MOLINO AVE",
            "address_2": "#3",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012985",
            "telephone_number": "626-449-2996",
            "fax_number": "626-449-3431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLCOX",
        "first_name": "GRANT",
        "middle_name": "RAYMOND",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "30043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley M Wilkins
• Clara Wilkinson
• Robert Will
• Cynthia Willard, M.D.
• Douglas Robert Willard, M.D,
• Grace Willen
• William L. Caton III M.D., Inc
• William Sutherling M.D., a Medical Group, Inc.
• William Whitney & Associates Psychology Group Inc.
• Andrew Richard Williams, M.D.

• General Practice Dentistry in Pasadena, CA
• Providers in Pasadena, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.