Sederic Grant, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DDS107635 Issued in CA

Practice address

18580 Via Princessa Ste 3
Santa Clarita, CA 91387-8329

Phone

(661) 388-0499

NPI assigned

Jul 21, 2020

Sex

Male

Sole proprietor

No

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

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.

• Hirano Kanuga Dental Group

  • Pediatric Dentistry
  • Canyon Country, CA
  • NPI 1255829370
  NPD (past)

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1720696198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18580 VIA PRINCESSA STE 3",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913878329",
            "telephone_number": "661-388-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18580 VIA PRINCESSA STE 3",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913878329",
            "telephone_number": "661-388-0499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "SEDERIC",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-21",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MN",
            "license": "R783",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "DDS107635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prithvi Govindan, PPS
• Grace Surgery Center Inc
• Graced Path Healthcare
• Elijah Aaron Gragas
• Bennie Graham
• Princess L. Grayson, AMFT
• Melissa Green
• Roshell Victoria Green
• Alfred Gregorio, PT
• Yuvraj Singh Grewal, M.D.

• Pediatric Dentistry in Santa Clarita, CA
• Providers in Santa Clarita, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; 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.