Victoria Grannan D.D.S. LTD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019.023318 Issued in IL

Legal business name

VICTORIA GRANNAN D.D.S. LTD

Practice address

340 W Butterfield Rd Ste 1D
Elmhurst, IL 60126-5047

Phone

(630) 834-4116

NPI assigned

Feb 11, 2015

Organization subpart

No

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

Authorized official

Name

Victoria Grannan

Title

Dentist

Phone

(630) 834-4116

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Victoria K Grannan-Manchen, D.D.S.

  • General Practice Dentistry
  • Elmhurst, IL
  • NPI 1124132279
  NPD (past)

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

{
    "created_epoch": "1423612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423612800000",
    "number": "1588055560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 W BUTTERFIELD RD STE 1D",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601265047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 W BUTTERFIELD RD STE 1D",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601265047",
            "telephone_number": "630-834-4116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIA GRANNAN D.D.S. LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-11",
        "last_updated": "2015-02-11",
        "status": "A",
        "authorized_official_last_name": "GRANNAN",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "630-834-4116"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.023318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael J. Ventrella, CRNA
• Ashley Verbus
• Verdant Health SC
• Kaitlyn Danielle Vesevick, AGPCNP-BC, DNP
• Jeroma Lynn Vicino, MA CCC SLP
• Anasooyadevi Vijay, APN-CNP
• Jennifer L. Vince, M.ED., CSA, CDP, DCS
• Vip 2U, LTD.
• Marcelo E Virgili, MD
• Stephanie Viruet, MSW - INTERN

• General Practice Dentistry in Elmhurst, IL
• Providers in Elmhurst, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2015; 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.