Organization Active NPI

Grandi Dental, Inc.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Sonora, CA
National Provider Identifier
1447039243
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
GRANDI DENTAL, INC.
Practice address
800 Morning Star Dr Ste a
Sonora, CA 95370-9260
Phone
(209) 532-5788
NPI assigned
Sep 21, 2023
Last updated
Sep 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2023

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

Authorized official

Name
Dr. Stas Grandi, DMD, MSDNPI 1548547425
Title
President
Phone
(720) 496-3397

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X Primary

Addresses

Primary practice location

800 Morning Star Dr Ste a
Sonora, CA 95370-9260

Mailing address

800 Morning Star Dr Ste a
Sonora, CA 95370-9260
Phone (209) 532-5788

National Provider Directory

National Provider Directory

Locations

800 Morning Star Dr
Ste A
Sonora, CA 95370
Phone (209) 532-5788

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1695254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695254400000",
    "number": "1447039243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 MORNING STAR DR STE A",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953709260",
            "telephone_number": "209-532-5788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MORNING STAR DR STE A",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953709260",
            "telephone_number": "209-532-5788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANDI DENTAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-21",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A",
        "authorized_official_last_name": "GRANDI",
        "authorized_official_first_name": "STAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "720-496-3397",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MSD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sonora, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; 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.