Grandpas Dental Care Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

GRANDPAS DENTAL CARE INC.

Practice address

53 W 10600 S
Sandy, UT 84070-4160

Phone

(801) 576-1444

Fax

(801) 576-1464

NPI assigned

Jul 13, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Jonas Mr Filho

Title

President

Phone

(801) 576-1444

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1278979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278979200000",
    "number": "1225340698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 W 10600 S",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840704160",
            "telephone_number": "801-576-1444",
            "fax_number": "801-576-1464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 W 10600 S",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840704160",
            "telephone_number": "801-576-1444",
            "fax_number": "801-576-1464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANDPAS DENTAL CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-13",
        "last_updated": "2010-07-13",
        "status": "A",
        "authorized_official_last_name": "FILHO",
        "authorized_official_first_name": "JONAS",
        "authorized_official_middle_name": "MR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-576-1444",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gordon R. Kimball M.D.,P.C.
• Anthony Scott Gordon, MD
• Debra S Gordon, R.N.
• Jennifer Gould
• Timothy E Graham, MD
• Grandpas Dental Care of Utah LLC
• Granger Medical Clinic PC
• Granger Medical Specialists LLC
• Granite Peaks Endoscopy Surgicenter LLC
• Granite Peaks Endoscopy,LLC

• Dental Clinic/Center in Sandy, UT
• Providers in Sandy, UT by specialty
• Dental Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2010; 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.