Individual provider Active NPI

Simran Grover

  • General Practice Dentistry
  • Andover, MA
National Provider Identifier
1528413937
Registry record updated May 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DL12776 Issued in MA
Practice address
7 Farnham Cir
Andover, MA 01810-2865
Phone
(978) 866-4767
NPI assigned
May 4, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DL12776 MA Primary

Addresses

Primary practice location

7 Farnham Cir
Andover, MA 01810-2865

Mailing address

7 Farnham Cir
Andover, MA 01810-2865

Other names 1

  • Simran Grover Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190509000646 MA Order and Referring Only - DentistPractitioner - Dentist 3274875455

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DL12776MAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1462320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462320000000",
    "number": "1528413937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 FARNHAM CIR",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018102865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 FARNHAM CIR",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018102865",
            "telephone_number": "978-866-4767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROVER",
        "first_name": "SIMRAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-04",
        "last_updated": "2016-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DL12776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SIMRAN",
            "last_name": "GROVER",
            "credential": "DDS,MSD,CAGS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Andover, MA

Sources for this page

Verify at the official NPI Registry.