NPIMap

Organization Active NPI

Rodney Grambeau Family Dentistry

  • Dental Clinic/Center
  • Petoskey, MI
National Provider Identifier
1508313230
Registry record updated Sep 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
2901011049 Issued in MI
Legal business name
RODNEY GRAMBEAU FAMILY DENTISTRY
Practice address
2044 E Mitchell Rd
Petoskey, MI 49770-9603
Phone
(231) 347-2188
NPI assigned
Sep 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2016

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

Authorized official

Name
Dr. Rodney Grambeau, DDSNPI 1396805867
Title
Owner
Phone
(231) 347-2188

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
Dental Clinic/Center 261QD0000X 2901011049 MI Primary

Addresses

Primary practice location

2044 E Mitchell Rd
Petoskey, MI 49770-9603

Mailing address

2044 E Mitchell Rd
Petoskey, MI 49770-9603
Phone (231) 347-2188

National Provider Directory

National Provider Directory

Locations

2044 E Mitchell Rd
Petoskey, MI 49770
Phone (231) 347-2188

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": "1473552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473552000000",
    "number": "1508313230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2044 E MITCHELL RD",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497709603",
            "telephone_number": "231-347-2188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2044 E MITCHELL RD",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497709603",
            "telephone_number": "231-347-2188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RODNEY GRAMBEAU FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-11",
        "last_updated": "2016-09-11",
        "status": "A",
        "authorized_official_last_name": "GRAMBEAU",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-347-2188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MI",
            "license": "2901011049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petoskey, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.