Active NPI
Cori E. Grantham, M.D., P.a.
- Specialist
- Dallas, TX
National Provider Identifier
1437405776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- P2658
- Legal business name
- CORI E. GRANTHAM, M.D., P.A.
- Practice address
- 8220 Walnut Hill LN
310
Dallas, TX 75231-4427 - Phone
- (214) 691-7077
- Fax
- (214) 692-8421
- NPI assigned
- Jul 24, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Cori Elizabeth Grantham, M.D.
- Title
- President
- Phone
- (214) 691-7077
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | P2658 | TX | Primary |
Addresses
Primary practice location
8220 Walnut Hill LN
310
Dallas, TX 75231-4427
Mailing address
8220 Walnut Hill LN
310
Dallas, TX 75231-4427
Phone (214) 691-7077
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343088000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1343088000000",
"number": "1437405776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8220 WALNUT HILL LN",
"address_2": "310",
"city": "DALLAS",
"state": "TX",
"postal_code": "752314427",
"telephone_number": "214-691-7077",
"fax_number": "214-692-8421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8220 WALNUT HILL LN",
"address_2": "310",
"city": "DALLAS",
"state": "TX",
"postal_code": "752314427",
"telephone_number": "214-691-7077",
"fax_number": "214-692-8421"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORI E. GRANTHAM, M.D., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2012-07-24",
"last_updated": "2012-07-24",
"status": "A",
"authorized_official_last_name": "GRANTHAM",
"authorized_official_first_name": "CORI",
"authorized_official_middle_name": "ELIZABETH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "214-691-7077",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "TX",
"license": "P2658",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.