Grand Royal Care PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

GRAND ROYAL CARE PLLC

Practice address

35914 Hwy 27 Ste 2B
Haines City, FL 33844-3737

Phone

(863) 422-8338

NPI assigned

Jan 29, 2020

Organization subpart

No

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

Authorized official

Name

Sohail Khan, DMD

Title

Dentist

Phone

(863) 422-8338

Specialties & licenses 1

Addresses

Other names 1

• Haines City Dental Doing business as

Practitioners 1

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

• Linda K. Park, DDS

  • General Practice Dentistry
  • Haines City, FL
  • NPI 1467412536
  NPD (past)

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

{
    "created_epoch": "1580256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580256000000",
    "number": "1457982407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35914 HWY 27 STE 2B",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338443737",
            "telephone_number": "863-422-8338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35914 HWY 27 STE 2B",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338443737",
            "telephone_number": "863-422-8338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND ROYAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-29",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "SOHAIL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "863-422-8338",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Haines City Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Veronica Gonzalez
• Yair Gonzalez
• Shaquel Akilah Goodwin
• Graceful Care Solutions LLC
• Graceful Hands of Compassion LLC
• Ashley Green, COTA/L
• Linda L Griffin
• Erika Selga Grimes, ATC
• Guiding Light Adult Family Care Home
• Seth J Gunn, NEMT

• Dental Clinic/Center in Haines City, FL
• Providers in Haines City, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; 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.