Jason Grant, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7085 Issued in NE

Practice address

416 4TH St
Fairbury, NE 68352-2514

Phone

(402) 729-6177

NPI assigned

May 30, 2013

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

State licenses

Practice roles

Locations

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.

• Fairbury Dental Associates, P.C.

  • Dental Clinic/Center
  • Fairbury, NE
  • NPI 1861102840
  NPD Authorized official

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

{
    "created_epoch": "1369872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369872000000",
    "number": "1306283304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 4TH ST",
            "city": "FAIRBURY",
            "state": "NE",
            "postal_code": "683522514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 4TH ST",
            "city": "FAIRBURY",
            "state": "NE",
            "postal_code": "683522514",
            "telephone_number": "402-729-6177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "JASON",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-30",
        "last_updated": "2013-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "7085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fairbury Public Schools
• Carolyn A Ferguson, APRN
• Renae Folkers
• Bailey Nicole Fowler
• Globe Rexall Pharmacy
• Candace Grantham, SLP
• Mandy Marie Grein
• Michael Gude, PHARMD
• Jessica Echo Hackler
• Jackie Michele Hahn

• All providers in Fairbury, NE
• General Practice Dentistry in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2013; 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.