Jeremiah M. Granados, DMD

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

37837 Issued in TX

Practice address

4005 Market St
Bee Cave, TX 78738-6912

Phone

(512) 263-4142

NPI assigned

Jul 4, 2014

Last updated

Jan 10, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1404432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641772800000",
    "number": "1437565967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 DOVER RD",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061191214",
            "telephone_number": "954-410-0247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4005 MARKET ST",
            "city": "BEE CAVE",
            "state": "TX",
            "postal_code": "787386912",
            "telephone_number": "512-263-4142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANADOS",
        "first_name": "JEREMIAH",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-04",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CT",
            "license": "11203",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "TX",
            "license": "37837",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CT",
            "license": "11203",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• G2 Wellness Inc. (Serasana Bee Cave)
• James Scott Gaertner, MD
• Devin Gallagher
• Galleria Eyecare PLLC
• Patrick K Glavy, PHARM. D.
• Susan Guerrero
• H-E-B, LP (HEB Pharmacy #404)
• Steven L Haase, DDS
• Sarah Hall
• Hamilton County Hospital District (Park Manor Bee Cave)

• Endodontics in Bee Cave, TX
• Providers in Bee Cave, TX by specialty
• Endodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; 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.