NPIMap

Organization Active NPI

Nigel D. Grandison, DMD

  • Pediatric Dentistry
  • Pembroke Pines, FL
National Provider Identifier
1225274517
Registry record updated Dec 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
14446 Issued in FL
Legal business name
NIGEL D. GRANDISON, DMD
Practice address
10794 Pines Blvd
Suite 101
Pembroke Pines, FL 33026-3920
Phone
(954) 432-1607
Fax
(954) 432-6716
NPI assigned
Dec 17, 2008
Last updated
Dec 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2008

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

Authorized official

Name
Nigel D. Grandison, DDSNPI 1326148909
Title
Owner/Provider
Phone
(954) 432-1607

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 14446 FL Primary

Addresses

Primary practice location

10794 Pines Blvd
Suite 101
Pembroke Pines, FL 33026-3920

Mailing address

10794 Pines Blvd
Suite 101
Pembroke Pines, FL 33026-3920
Phone (954) 432-1607

Other names 1

  • Kids Care Dental Other name

National Provider Directory

National Provider Directory
Tax ID family
Kids Care Dental3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

10794 Pines Blvd
Ste 101
Pembroke Pines, FL 33026
Phone (954) 432-1607

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1229472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229472000000",
    "number": "1225274517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10794 PINES BLVD",
            "address_2": "SUITE 101",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330263920",
            "telephone_number": "954-432-1607",
            "fax_number": "954-432-6716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10794 PINES BLVD",
            "address_2": "SUITE 101",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330263920",
            "telephone_number": "954-432-1607",
            "fax_number": "954-432-6716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIGEL D. GRANDISON, DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-17",
        "last_updated": "2008-12-17",
        "status": "A",
        "authorized_official_last_name": "GRANDISON",
        "authorized_official_first_name": "NIGEL",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "954-432-1607",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "14446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kids Care Dental",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2008; 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.