Canton Family Medicine and Medical Spa, PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

4301061850 Issued in MI

Legal business name

CANTON FAMILY MEDICINE AND MEDICAL SPA, PLLC

Practice address

5958 N Canton Center Rd
Suite 200
Canton, MI 48187-2765

Phone

(734) 667-1648

Fax

(734) 667-1649

NPI assigned

May 29, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Miguel Granados, MDNPI 1043283286

Title

Physician Owner

Phone

(734) 667-1648

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Miguel Granados, MD

  • Family Medicine Physician
  • Canton, MI
  • NPI 1043283286
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1369785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484006400000",
    "number": "1386081529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5958 N CANTON CENTER RD",
            "address_2": "SUITE 200",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481872765",
            "telephone_number": "734-667-1648",
            "fax_number": "734-667-1649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5958 N CANTON CENTER RD",
            "address_2": "SUITE 200",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481872765",
            "telephone_number": "734-667-1648",
            "fax_number": "734-667-1649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANTON FAMILY MEDICINE AND MEDICAL SPA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-29",
        "last_updated": "2017-01-10",
        "status": "A",
        "authorized_official_last_name": "GRANADOS",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "734-667-1648",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MI",
            "license": "4301061850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Canton Dental PLLC
• Canton Dermatology, P.C.
• Canton Family Chiropractic LLC
• Canton Family Dental PLLC
• Canton Family Health LLC
• Canton Foot & Ankle Specialists PC
• Canton Foot Specialist PC
• Canton Health Associates
• Canton Healthy Smiles PLLC
• Canton Medical Care Center,P.C.

• Primary Care Clinic/Center in Canton, MI
• Providers in Canton, MI by specialty
• Primary Care Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.