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
- 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
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 and National Provider Directory roles.
-
- Dental Clinic/Center
- Brandywine, MD
- NPI 1770331589
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.