Lisa Grant Orthodontics

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

021001652 Issued in IL

Legal business name

LISA GRANT ORTHODONTICS

Practice address

18243 Harwood Ave
Homewood, IL 60430-2149

Phone

(708) 799-3030

NPI assigned

Apr 26, 2013

Last updated

Apr 26, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lisa Hope Grant, D.D.S. M.SNPI 1902968027

Title

Doctor/Owner

Phone

(708) 700-3030

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Lisa Hope Grant, DDS,MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Flossmoor, IL
  • NPI 1902968027
  Authorized official Same address or phone
• Charles Thomas Bond II, DMD, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Northbrook, IL
  • NPI 1609489814
  NPD (past)

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

{
    "created_epoch": "1366934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366934400000",
    "number": "1225472749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18243 HARWOOD AVE",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604302149",
            "telephone_number": "708-799-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18243 HARWOOD AVE",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604302149",
            "telephone_number": "708-799-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA GRANT ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-26",
        "last_updated": "2013-04-26",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "HOPE",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "708-700-3030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S. M.S"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IL",
            "license": "021001652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthodontics and Dentofacial Orthopedics Dentistry in Homewood, IL
• Providers in Homewood, IL by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2013; 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.