Organization Active NPI

Kids Care Dental and Orthodontics of East Commercial, Inc

  • Pediatric Dentistry
  • Fort Lauderdale, FL
National Provider Identifier
1710798426
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
KIDS CARE DENTAL AND ORTHODONTICS OF EAST COMMERCIAL, INC
Practice address
2633 E Commercial Blvd
Fort Lauderdale, FL 33308-4135
Phone
(954) 632-8171
Fax
(954) 432-6716
NPI assigned
Jan 14, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Authorized official

Name
Dr. Nigel Grandison, DMSNPI 1326148909
Title
Owner/Dentist
Phone
(954) 326-2947

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

2633 E Commercial Blvd
Fort Lauderdale, FL 33308-4135

Mailing address

10794 Pines Blvd Ste 101
Pembroke Pines, FL 33026-3920
Phone (954) 632-8171

Other names 1

  • NIGEL S. GRANDISON DMD, PA Other name

National Provider Directory

National Provider Directory

Locations

10794 Pines Blvd
Ste 101
Pembroke Pines, FL 33026
Phone (954) 432-1607

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1736812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736812800000",
    "number": "1710798426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10794 PINES BLVD STE 101",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330263920",
            "telephone_number": "954-632-8171",
            "fax_number": "954-432-6716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2633 E COMMERCIAL BLVD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084135",
            "telephone_number": "954-632-8171",
            "fax_number": "954-432-6716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS CARE DENTAL AND ORTHODONTICS OF EAST COMMERCIAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-14",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A",
        "authorized_official_last_name": "GRANDISON",
        "authorized_official_first_name": "NIGEL",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "954-326-2947",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NIGEL S. GRANDISON DMD, PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; 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.