Active NPI
Adrienne Grant, DDS
- Dentist
- Prince Frederick, MD
National Provider Identifier
1235683152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 16122
- Practice address
- 205 Steeple Chase Dr
Suite 208
Prince Frederick, MD 20678-4053 - Phone
- (217) 540-5100
- NPI assigned
- Aug 9, 2016
- Last updated
- Aug 9, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 16122 | MD | Primary |
Addresses
Primary practice location
205 Steeple Chase Dr
Suite 208
Prince Frederick, MD 20678-4053
Mailing address
205 Steeple Chase Dr
Suite 208
Prince Frederick, MD 20678-4053
Phone (217) 540-5100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16122 | MD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Granting Grins, LLC | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470700800000",
"number": "1235683152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 STEEPLE CHASE DR",
"address_2": "SUITE 208",
"city": "PRINCE FREDERICK",
"state": "MD",
"postal_code": "206784053",
"telephone_number": "217-540-5100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 STEEPLE CHASE DR",
"address_2": "SUITE 208",
"city": "PRINCE FREDERICK",
"state": "MD",
"postal_code": "206784053",
"telephone_number": "217-540-5100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANT",
"first_name": "ADRIENNE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-09",
"last_updated": "2016-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "16122",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prince Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.