Deborah T Grandgenett, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

07946 Issued in IA

Practice address

2208 Philadelphia St
Ames, IA 50010-8700

Phone

(515) 956-3423

Fax

(515) 956-3424

NPI assigned

Oct 5, 2006

Sex

Female

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Grandgenett Family Dental, PC

  • General Practice Dentistry
  • Ames, IA
  • NPI 1770750028

  Pediatric Dentistry

  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497841449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2208 PHILADELPHIA ST",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500108700",
            "telephone_number": "515-956-3423",
            "fax_number": "515-956-3424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2208 PHILADELPHIA ST",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500108700",
            "telephone_number": "515-956-3423",
            "fax_number": "515-956-3424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANDGENETT",
        "first_name": "DEBORAH",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IA",
            "license": "07946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0211151",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joan M. Grabenstetter, M.D.
• Elizabeth Grace
• Grand Care LLC
• Grandgenett Family Dental, PC
• Craig A Grandgenett, DDS
• Ryan L Grandgenett, MD
• Shaquille Grant Jr.
• Grau Construction Co
• Robert Bryan Graveline, M.D.
• Lauren Gray, PA-C

• All providers in Ames, IA
• Pediatric Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.