Active NPI
Michael Grant, DDS
- Periodontics
- El Paso, TX
National Provider Identifier
1689175697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 33973
- Practice address
- 6901 Helen of Troy Ste a
El Paso, TX 79911-3049 - Phone
- (915) 845-7979
- NPI assigned
- Feb 24, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 33973 | TX | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Periodontics | 1223P0300X | 33973 | TX | Primary |
Addresses
Primary practice location
6901 Helen of Troy Ste a
El Paso, TX 79911-3049
Mailing address
1714 Gambel Quail Dr
El Paso, TX 79936-6354
Phone (915) 261-3698
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
| License | State | Type | Specialty |
|---|---|---|---|
| 33973 | TX | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Implant and Periodontal Specialty Assoc | Past | Accepting new patients | |
| Tooth Angels PLLC | Single Specialty | Past | Accepting new patients |
| Hillside Dental PLLC | Dentist | Past | Accepting new patients |
| Jasvinder Badwalz DMD PLLC | Single Specialty | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Dentist
- El Paso, TX
- NPI 1225618630
-
- Dental Clinic/Center
- El Paso, TX
- NPI 1487582193
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667779200000",
"number": "1689175697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1714 GAMBEL QUAIL DR",
"city": "EL PASO",
"state": "TX",
"postal_code": "799366354",
"telephone_number": "915-261-3698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6901 HELEN OF TROY STE A",
"city": "EL PASO",
"state": "TX",
"postal_code": "799113049",
"telephone_number": "915-845-7979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANT",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-02-24",
"last_updated": "2022-11-07",
"certification_date": "2022-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "33973",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223P0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Periodontics",
"state": "TX",
"license": "33973",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.