Organization Active NPI

Andre Grenier DMD, PLLC

  • Periodontics
  • Plantation, FL
National Provider Identifier
1336698026
Registry record updated Sep 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DN16730 Issued in FL
Legal business name
ANDRE GRENIER DMD, PLLC
Practice address
8200 W Sunrise Blvd
Suite B1
Plantation, FL 33322-5426
Phone
(954) 473-1806
Fax
(954) 424-6666
NPI assigned
Sep 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2016

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

Authorized official

Name
Dr. Andre Grenier, DMDNPI 1295929040
Title
Doctor/Owner
Phone
(954) 473-1806

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X DN16730 FL Primary

Addresses

Primary practice location

8200 W Sunrise Blvd
Suite B1
Plantation, FL 33322-5426

Mailing address

8200 W Sunrise Blvd
Suite B1
Plantation, FL 33322-5426
Phone (954) 473-1806

National Provider Directory

National Provider Directory

Locations

8200 W Sunrise Blvd
Ste B1
Plantation, FL 33322
Phone (954) 473-1806

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1474588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474588800000",
    "number": "1336698026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 W SUNRISE BLVD",
            "address_2": "SUITE B1",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333225426",
            "telephone_number": "954-473-1806",
            "fax_number": "954-424-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 W SUNRISE BLVD",
            "address_2": "SUITE B1",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333225426",
            "telephone_number": "954-473-1806",
            "fax_number": "954-424-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDRE GRENIER DMD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-23",
        "last_updated": "2016-09-23",
        "status": "A",
        "authorized_official_last_name": "GRENIER",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "954-473-1806",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN16730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.