Granato & Crandall DDS PC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

7179 Issued in VA

Legal business name

GRANATO & CRANDALL DDS PC

Practice address

8719 Stonewall Road
Manassas, VA 20110

Phone

(703) 368-1000

Fax

(703) 331-4944

NPI assigned

Apr 12, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Dawn A Crandall, DDSNPI 1952422784

Title

Pediatric Dentist

Phone

(703) 368-1000

Specialties & licenses 1

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dawn Ann Crandall, DDS

  • Pediatric Dentistry
  • Manassas, VA
  • NPI 1952422784
  NPD (past) Authorized official
• Jerome Granato, DDS

  • General Practice Dentistry
  • Manassas, VA
  • NPI 1225159007
  NPD (past)
• Sunkyung Lee

  • General Practice Dentistry
  • Manassas, VA
  • NPI 1619701661
  NPD (past)
• Ruksana Talaksi, DDS

  • Pediatric Dentistry
  • Manassas, VA
  • NPI 1023232089
  NPD (past)

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639133291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8719 STONEWALL ROAD",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "20110",
            "telephone_number": "703-368-1000",
            "fax_number": "703-331-4944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8719 STONEWALL ROAD",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "20110",
            "telephone_number": "703-368-1000",
            "fax_number": "703-331-4944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANATO & CRANDALL DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CRANDALL",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "703-368-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "VA",
            "license": "7179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gracealliance LLC (ComForCare Home Care - PWC/S. Fairfax)
• Graceful Days Inc
• Grady Health Services Inc. (Altmed Medical Center)
• Shana Grady
• Erik Gabriel Granados, M.D.
• Jerome Granato, DDS
• Elaina Grant, RDH
• Ilona Nora Gravers, PSYD
• Sandra-Joy Gray, LPC, LMFT, PH.D
• Greater Manassas Vol Rescue Squad

• Pediatric Dentistry in Manassas, VA
• Providers in Manassas, VA by specialty
• Pediatric Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.