Kellogg and Grant Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

42167 Issued in CA

Legal business name

KELLOGG AND GRANT DENTAL CORPORATION

Practice address

1879 E Fir Ave Ste 101
Fresno, CA 93720-3861

Phone

(559) 322-6060

Fax

(559) 322-7888

NPI assigned

Aug 10, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Rodney J Kellogg, DDSNPI 1174736326

Title

Partner

Phone

(559) 322-6060

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rodney James Kellogg, DDS

  • Dentist
  • Fresno, CA
  • NPI 1174736326
  NPD (past) Authorized official
• Adam Michael Grant, DDS

  • Dentist
  • Fresno, CA
  • NPI 1598978751
  NPD (past)
• Jack Charles Ohanesian, DDS

  • Dentist
  • Fresno, CA
  • NPI 1285986505
  NPD (past)

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

{
    "created_epoch": "1470787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470787200000",
    "number": "1255885018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1879 E FIR AVE STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203861",
            "telephone_number": "559-322-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1879 E FIR AVE STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203861",
            "telephone_number": "559-322-6060",
            "fax_number": "559-322-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLOGG AND GRANT DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-10",
        "last_updated": "2016-08-10",
        "status": "A",
        "authorized_official_last_name": "KELLOGG",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "559-322-6060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "42167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nichole Benkula Keller
• Susan Lynn Keller, CRNA
• Jerome David Kelley
• William Patrick Kelley Jr., D.O.
• Erica Kellison
• Rodney James Kellogg, DDS
• Brenna Jean Kelly
• Brian Edward Kelly
• Cassandra Kelly
• Catherine Cailing Kelly

• General Practice Dentistry in Fresno, CA
• Providers in Fresno, 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 Aug 10, 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.

Verify at the official NPI Registry.