Alan Grant, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

107813 Issued in CA

Practice address

1100 Park PL Ste 30
San Mateo, CA 94403-7106

Phone

(650) 627-8191

NPI assigned

Oct 3, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1235853193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 HARRISON ST APT 6",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941034448",
            "telephone_number": "510-828-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 PARK PL STE 30",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944037106",
            "telephone_number": "650-627-8191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-03",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "107813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Grady
• Alexander Steven Graf, DPT
• Roger A. Graham, D.D.S.
• Sundeep Grandhe, MD, HMDC, FAAHPM
• Marite Grandovskis
• Brandon Granzella
• Samara Graunke, DO
• Michelle Larson Graville, LMFT
• Richard Frank Gravina, MD
• Donna Rose Gray, M.S. CCC-SLP

• General Practice Dentistry in San Mateo, CA
• Providers in San Mateo, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; 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.