NPIMap

Organization Active NPI

Nigel D. Grandison, DMD

  • Pediatric Dentistry
  • Plantation, FL
National Provider Identifier
1235375551
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
10117 Cleary Blvd
Plantation, FL 33324-1066
Phone
(954) 916-9060
Fax
(954) 916-9063
NPI assigned
Dec 17, 2008
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, DMD
Title
Owner/Provider
Phone
(954) 432-1607

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0221X 14446 FL Primary

Addresses

Primary practice location

10117 Cleary Blvd
Plantation, FL 33324-1066

Mailing address

10117 Cleary Blvd
Plantation, FL 33324-1066
Phone (954) 916-9060

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

10117 Cleary Blvd
Plantation, FL 33324
Phone (954) 210-7488

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": "1235375551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10117 CLEARY BLVD",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241066",
            "telephone_number": "954-916-9060",
            "fax_number": "954-916-9063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10117 CLEARY BLVD",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241066",
            "telephone_number": "954-916-9060",
            "fax_number": "954-916-9063"
        }
    ],
    "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": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY 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 Plantation, 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.