Grace Travers, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

61514 Issued in CA

Practice address

828 Jackman St
El Cajon, CA 92020-3053

Phone

(619) 343-8167

NPI assigned

Jun 17, 2011

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Grace Nantale DDS Inc

  • Pediatric Dentistry
  • El Cajon, CA
  • NPI 1134884588
  NPD Authorized official
• Travers Dental Group Incorporated

  • General Practice Dentistry
  • El Cajon, CA
  • NPI 1457026015
  NPD Authorized official

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

{
    "created_epoch": "1308268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638489600000",
    "number": "1639464597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "828 JACKMAN ST",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920203053",
            "telephone_number": "619-343-8167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 JACKMAN ST",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920203053",
            "telephone_number": "619-343-8167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAVERS",
        "first_name": "GRACE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-17",
        "last_updated": "2021-12-03",
        "certification_date": "2021-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "018001805",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "61514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "61514",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tu Hong Tran
• Monique M Trapasso
• Farnaz Trasandes, DNP, APRN, PMHNP-BC
• Grey Tratenberg
• Travers Dental Group Incorporated
• Tree of Life Elder Care, Inc
• Kenia Trejo
• Prudencio Trevino III, SUDRC
• Trevor Sanks D.C.
• Quynhdao Thuy Tri, PHARMD

• Dentist in El Cajon, CA
• Providers in El Cajon, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2021; 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.