Active NPI
Ann M Graney, DDS
- General Practice Dentistry
- Kent, OH
National Provider Identifier
1356573299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 21800
- Practice address
- 143 Gougler Ave
Kent, OH 44240-2401 - Phone
- (330) 673-1016
- NPI assigned
- Aug 11, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 21800 | OH | Primary |
Addresses
Primary practice location
143 Gougler Ave
Kent, OH 44240-2401
Mailing address
PO Box 933132
Cleveland, OH 44193-0001
Phone (330) 673-1016
Other practice location 1
1993 State Route 59
Kent, OH 44240-7609
Phone (330) 673-1016
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121004000699 | OH | Order and Referring Only - Oral Surgery | 6305095498 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21800 | OH | MD | General Practice Dentistry |
Interoperability endpoints
- ann.graney@api.eclinicaldirectplus.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510012800000",
"number": "1356573299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 933132",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441930001",
"telephone_number": "330-673-1016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "143 GOUGLER AVE",
"city": "KENT",
"state": "OH",
"postal_code": "442402401",
"telephone_number": "330-673-1016"
}
],
"practiceLocations": [
{
"address_1": "1993 State Route 59",
"address_purpose": "LOCATION",
"city": "Kent",
"state": "OH",
"postal_code": "442407609",
"country_code": "US",
"telephone_number": "330-673-1016",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRANEY",
"first_name": "ANN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-11",
"last_updated": "2017-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OH",
"license": "21800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kent, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.