Melissa Grant, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DDS103626 Issued in CA

Practice address

1642 8TH St
Manhattan Beach, CA 90266-6300

Phone

(310) 318-3240

NPI assigned

Apr 6, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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.

• Melissa Grant Dental Corporation

  • Pediatric Dentistry
  • Manhattan Beach, CA
  • NPI 1891527008
  NPD Authorized official

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

{
    "created_epoch": "1491436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1669905659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 N SEPULVEDA BLVD STE 200",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902663638",
            "telephone_number": "323-841-2491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1642 8TH ST",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902666300",
            "telephone_number": "310-318-3240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3250 Sawtelle Blvd",
            "address_2": "Apt. 203",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900661664",
            "country_code": "US",
            "telephone_number": "323-841-2491",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRANT",
        "first_name": "MELISSA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-06",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "103626",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "DDS103626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Ann Gomez
• Efrain Gonzalez, M.ED., BCBA
• Karen Kiyon Goud, PHARM.D.
• Gould Dental Corporation
• Joel David Gould, DDS
• Ronald J Greene, D.D.S.
• Melvin A. Greenspan, D.D.S.,
• Gregory M. Ray D.D.S., Inc.
• Shelley Gregory, LMFT
• Allison Michelle Gribben, M.A.

• Pediatric Dentistry in Manhattan Beach, CA
• Providers in Manhattan Beach, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.