NPIMap

Organization Active NPI

Grand Family Dentistry. Com

  • Dentist
  • Baton Rouge, LA
National Provider Identifier
1447571054
Registry record updated Oct 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5106 Issued in LA
Legal business name
GRAND FAMILY DENTISTRY. COM
Practice address
12117 Coursey Blvd
Baton Rouge, LA 70816-4410
Phone
(225) 292-0016
Fax
(225) 292-7200
NPI assigned
Jun 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2016

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

Authorized official

Name
Dr. William B Grand, D.D.S.
Title
MBR
Phone
(225) 372-7699

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 5106 LA Primary

Addresses

Primary practice location

12117 Coursey Blvd
Baton Rouge, LA 70816-4410

Mailing address

700 Asbury Dr
Mandeville, LA 70471-1844
Phone (225) 372-7699

National Provider Directory

National Provider Directory

Locations

12117 Coursey Blvd
Baton Rouge, LA 70816
Phone (225) 292-0016

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1276732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476662400000",
    "number": "1447571054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 ASBURY DR",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704711844",
            "telephone_number": "225-372-7699",
            "fax_number": "225-292-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12117 COURSEY BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708164410",
            "telephone_number": "225-292-0016",
            "fax_number": "225-292-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND FAMILY DENTISTRY. COM",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-17",
        "last_updated": "2016-10-17",
        "status": "A",
        "authorized_official_last_name": "GRAND",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MBR",
        "authorized_official_telephone_number": "225-372-7699",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "LA",
            "license": "5106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; 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.