Individual provider Active NPI

Ira N Grenadir, D.P.M.

  • Podiatrist
  • Cambridge, MA
National Provider Identifier
1407892086
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
1556 Issued in MA
Practice address
205 Walden Street
Ste.Apt. 5J
Cambridge, MA 02140-3511
Phone
(617) 492-1827
NPI assigned
Jun 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 1556 MA Primary
Sports Medicine Podiatrist 213ES0000X 1556 MA

Addresses

Primary practice location

205 Walden Street
Ste.Apt. 5J
Cambridge, MA 02140-3511

Mailing address

205 Walden Street
Ste. 5J
Cambridge, MA 02140-3511
Phone (617) 492-1827

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1556MAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1407892086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 WALDEN STREET",
            "address_2": "STE. 5J",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021403511",
            "telephone_number": "617-492-1827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 WALDEN STREET",
            "address_2": "STE.APT. 5J",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021403511",
            "telephone_number": "617-492-1827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRENADIR",
        "first_name": "IRA",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MA",
            "license": "1556",
            "primary": true
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "MA",
            "license": "1556",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.