Constantine Granatosky, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DE60969331 Issued in WA

Practice address

4001 Colby Ave Ste 1
Everett, WA 98201-4991

Phone

(425) 252-8919

NPI assigned

Aug 23, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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.

• Granatosky PLLC

  • Dental Clinic/Center
  • Everett, WA
  • NPI 1114768611
  NPD Authorized official
• K Hsue

  • Dentist
  • Tukwila, WA
  • NPI 1558602896
  NPD (past)
• S. H. Nguyen, Inc

  • Dentist
  • Tukwila, WA
  • NPI 1780828145
  NPD (past)

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

{
    "created_epoch": "1566518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1760039762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 COLBY AVE STE 1",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982014991",
            "telephone_number": "425-430-9099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 COLBY AVE STE 1",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982014991",
            "telephone_number": "425-252-8919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANATOSKY",
        "first_name": "CONSTANTINE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-23",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60969331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Graham, MSW
• Graig Erickson, D.D.S., M.S.D., PLLC
• Caera Gramore, BA, CPC, MSW
• Janelle Ann Gramson, DMD
• Granatosky PLLC
• Jesse Alan Granberg
• David Grange
• Richard J Granger, MD
• Elizabeth Mae Grannis, MA61481958
• Gary Grant, M. ED

• Dentist in Everett, WA
• Providers in Everett, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.