Nigel Dave Grandison, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN14446 Issued in FL

Practice address

10794 Pines Blvd
Suite 101
Pembroke Pines, FL 33026-3920

Phone

(954) 916-9060

Fax

(954) 432-6716

NPI assigned

Sep 24, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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.

• Kids Care Dental and Orthodontics of East Commercial, Inc

  • Pediatric Dentistry
  • Fort Lauderdale, FL
  • NPI 1710798426
  NPD Authorized official
• Kids Care Dental and Orthodontics of Pompano Beach

  • Dentist
  • Pompano Beach, FL
  • NPI 1770434045
  NPD
• Lauderhill Childrens Dental LLC

  • Dentist
  • Lauderhill, FL
  • NPI 1295368702
  NPD

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

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398643200000",
    "number": "1326148909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10794 PINES BLVD",
            "address_2": "SUITE 101",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330263920",
            "telephone_number": "954-916-9060",
            "fax_number": "954-432-6716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10794 PINES BLVD",
            "address_2": "SUITE 101",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330263920",
            "telephone_number": "954-916-9060",
            "fax_number": "954-432-6716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANDISON",
        "first_name": "NIGEL",
        "middle_name": "DAVE",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-24",
        "last_updated": "2014-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN14446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "071682102",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "075944900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grace Oropesa LLC
• Noe Junior Grados, PHARM D
• Danilo Grahovac, MD
• Lena Granado Lopez, RBT
• Grand Dialysis Services LLC
• Jamie Roberts Granie, FNP-BC
• Tashna Grant-Williams
• Cassandra Grant
• Gwendalyn Grant, ARNP
• Elizabeth Anne Granucci-Espinoza, BCBA

• Pediatric Dentistry in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Pediatric Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2014; 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.