Michael M Granata, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

17348 Issued in OH

Practice address

4139 N Holland Sylvania Rd
Suite 2
Toledo, OH 43623-2503

Phone

(419) 885-2444

Fax

(419) 885-2444

NPI assigned

Sep 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376648626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4139 N HOLLAND SYLVANIA RD",
            "address_2": "SUITE 2",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436232503",
            "telephone_number": "419-885-2444",
            "fax_number": "419-885-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4139 N HOLLAND SYLVANIA RD",
            "address_2": "SUITE 2",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436232503",
            "telephone_number": "419-885-2444",
            "fax_number": "419-885-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANATA",
        "first_name": "MICHAEL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "17348",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901013973",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0644360",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "562159",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marquia Graham
• Melissa Graham, PHARMD
• Michele M Graham, RN
• Jeffrey A Gramling, M.D.
• Madison Elaine Grana, LPCC
• Richard Granata
• Robert D Grande
• Grandeur Minds
• Marcia A Grandsko, MNT
• Amy Grant, CRNA

• Dentist in Toledo, OH
• Providers in Toledo, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.