Kevin Joseph Grant, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

044444 Issued in NY

Practice address

8752A Parsons Blvd
Jamaica, NY 11432-3317

Phone

(718) 523-7679

Fax

(718) 523-7689

NPI assigned

Jul 5, 2005

Sex

Male

Sole proprietor

No

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

Enrolled in NY

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

Practice roles

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.

• Kevin J. Grant D.D.S.,P.C.

  • Dentist
  • Jamaica, NY
  • NPI 1407229008
  NPD (past) Authorized official

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1407853492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8752A PARSONS BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114323317",
            "telephone_number": "718-523-7679",
            "fax_number": "718-523-7689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8752A PARSONS BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114323317",
            "telephone_number": "718-523-7679",
            "fax_number": "718-523-7689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "KEVIN",
        "middle_name": "JOSEPH",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "044444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01383568",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORAL",
            "identifier": "9176530",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tetla Veronica Grant Campbell
• Nichola Felicity Grant-Kerr
• Dominique Grant
• Jacqueline A Grant, RN
• Joan Jean Grant, RN
• Suzette Grant
• Marsha Odessa Granville, R.N
• Stacey Rebbie Granville, LPN
• Katiuscia Gray, LCSW
• Mary D. Gray, NP-P

• General Practice Dentistry in Jamaica, NY
• Providers in Jamaica, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.