Susan Granquist, D.M.D

Primary specialty

DentistTaxonomy code 122300000X

License

DS038265 Issued in PA

Practice address

177 Sunrise Ave
Honesdale, PA 18431-1027

Phone

(570) 253-0358

NPI assigned

Jun 22, 2010

Last updated

Jan 24, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Susan Kay Former name

Medicare fee-for-service enrollment

Enrolled in PA

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sprout Pediatric Dental

  • Pediatric Dentistry
  • Honesdale, PA
  • NPI 1902525264
  NPD
• Sprout Pediatric Dental

  • Pediatric Dentistry
  • Pittston, PA
  • NPI 1669150355
  NPD (past)

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

{
    "created_epoch": "1277164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1619298957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 SUNRISE AVE",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "184311027",
            "telephone_number": "570-253-0538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 SUNRISE AVE",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "184311027",
            "telephone_number": "570-253-0358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANQUIST",
        "first_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-22",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS038265",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS038265",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "KAY",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Timothy Gladson, LPC
• David Lewis Goddard
• Sydney Taylor Goyette
• Meghan Grady, LCSW
• Paul Granet, MD
• Dana M Graziul, M.S. CCC-SLP
• Kelly Lorraine Gregory, PHARM.D.
• Barbara Jane Griggs-Pratt, MA, RDN, LDN
• Amy C Grossman, PT
• Jean Marie Gruber Barziloski, MS, LPC, RD, LDN

• Dentist in Honesdale, PA
• Providers in Honesdale, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; 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.