Organization Active NPI

Richard L. Grandjean, M.D., P.a.

  • Family Medicine Physician
  • Allen, TX
National Provider Identifier
1306831086
Registry record updated Apr 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
F1602 Issued in TX
Legal business name
RICHARD L. GRANDJEAN, M.D., P.A.
Practice address
997 Raintree Cir Ste 150
Allen, TX 75013-4954
Phone
(214) 327-3333
Fax
(877) 448-0543
NPI assigned
Sep 19, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2019

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

Authorized official

Name
Richard Leon Grandjean, M.D.
Title
President
Phone
(214) 327-3333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X F1602 TX Primary

Addresses

Primary practice location

997 Raintree Cir Ste 150
Allen, TX 75013-4954

Mailing address

997 Raintree Cir Ste 150
Allen, TX 75013-4954
Phone (214) 327-3333

Other names 1

  • Raintree Family Medicine Doing business as

National Provider Directory

National Provider Directory

Locations

997 Raintree Cir
Ste 150
Allen, TX 75013
Phone (214) 383-5305

9323 Garland Rd
Ste 203
Dallas, TX 75218
Phone (214) 327-3333

NPI Registry JSON

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554076800000",
    "number": "1306831086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "997 RAINTREE CIR STE 150",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750134954",
            "telephone_number": "214-327-3333",
            "fax_number": "877-448-0543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "997 RAINTREE CIR STE 150",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750134954",
            "telephone_number": "214-327-3333",
            "fax_number": "877-448-0543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD L. GRANDJEAN, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-19",
        "last_updated": "2019-04-01",
        "status": "A",
        "authorized_official_last_name": "GRANDJEAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "LEON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-327-3333",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "F1602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Raintree Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Raintree Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Allen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2019; 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.