Active NPI
James D Grant, DMD
- General Practice Dentistry
- Meridian, ID
National Provider Identifier
1447345491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D-3875
- Practice address
- 1848 Millenium Way
Meridian, ID 83642-1510 - Phone
- (208) 888-2026
- Fax
- (208) 888-2094
- NPI assigned
- Oct 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D-3875 | ID | Primary |
Addresses
Primary practice location
1848 Millenium Way
Meridian, ID 83642-1510
Mailing address
1848 Millenium Way
Meridian, ID 83642-1510
Phone (208) 888-2026
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 807160400 | Medicaid | ID |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D-3875 | ID | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707696000000",
"number": "1447345491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1848 MILLENIUM WAY",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836421510",
"telephone_number": "208-888-2026",
"fax_number": "208-888-2094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1848 MILLENIUM WAY",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836421510",
"telephone_number": "208-888-2026",
"fax_number": "208-888-2094"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANT",
"first_name": "JAMES",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2024-02-12",
"certification_date": "2024-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "ID",
"license": "D-3875",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "807160400",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}Other providers in Meridian, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.