Individual provider Active NPI

Debbie Lynn Grant, D.M.D

  • Pediatric Dentistry
  • Sarasota, FL
National Provider Identifier
1639434749
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DN19841 Issued in FL
Practice address
4041 Clark Rd
Sarasota, FL 34233-2401
Phone
(786) 514-6775
NPI assigned
Jul 5, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DL13650 MA
Dentist 122300000X DN19841 FL
Dentist 122300000X 19841 FL
Pediatric Dentistry 1223P0221X DN19841 FL Primary

Addresses

Primary practice location

4041 Clark Rd
Sarasota, FL 34233-2401

Mailing address

4041 Clark Rd
Sarasota, FL 34233-2401
Phone (941) 326-4273

Other names 1

  • Debbie Lynn Darius Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
19841FLMDDentist
DN19841FLMDDentist
DL13650MAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Humblebees Pediatric Dentistry Pediatric Dentistry CurrentSince Jul 21, 2024 Accepting new patients

Locations

4041 Clark Rd
Sarasota, FL 34233
Phone (786) 514-6775

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1341446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1639434749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4041 CLARK RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342332401",
            "telephone_number": "941-326-4273",
            "fax_number": "941-229-8598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4041 CLARK RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342332401",
            "telephone_number": "786-514-6775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "DEBBIE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-05",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DL13650",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN19841",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "19841",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN19841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBBIE",
            "last_name": "DARIUS",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.