Stas Grandi, D.M.D., M.S.D.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DEN.00203854 Issued in CO

Practice address

800 Morning Star Dr Ste a
Sonora, CA 95370-9260

Phone

(209) 532-5788

NPI assigned

Nov 7, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Children's Hospital Los Angeles Medical Group, Inc.

  • Multi-Specialty Clinic/Center
  • Los Angeles, CA
  • NPI 1265530653
  Medicare reassignment NPD
• Grandi Dental, Inc.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Sonora, CA
  • NPI 1447039243
  NPD Authorized official
• James a. Grabow, DDS, Ms, Inc

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Sonora, CA
  • NPI 1245349141
  NPD (past)
• Irina Lovinescu, DMD, MDS, Ms, PC

  dba Littleton Family Orthodontics

  • Dental Clinic/Center
  • Littleton, CO
  • NPI 1184045536
  NPD (past)

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

{
    "created_epoch": "1320624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1548547425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 MORNING STAR DR STE A",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953709260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MORNING STAR DR STE A",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953709260",
            "telephone_number": "209-532-5788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANDI",
        "first_name": "STAS",
        "name_prefix": "Dr.",
        "credential": "D.M.D., M.S.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-07",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401413384",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CO",
            "license": "DEN.00203854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary B Goldsworthy
• Deborah Lynn Goreham, FNP-C
• James A Grabow, DDS, MS
• Jennifer K Grabowski
• Grandi Dental, Inc.
• Natalie Gray, LMFT
• Vibeke B Green, NP
• Greenley Oaks Ear, Nose & Throat, Apc
• Greenley Oaks Hearing Resource Center, Inc.
• Steven J Gregg

• Orthodontics and Dentofacial Orthopedics Dentistry in Sonora, CA
• Providers in Sonora, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.