Oloph K. Granath, DDS, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

32309 Issued in CA

Legal business name

OLOPH K. GRANATH, DDS, INC.

Practice address

2345 4TH St
Santa Rosa, CA 95404-3259

Phone

(707) 528-9411

Fax

(707) 528-7101

NPI assigned

Aug 3, 2011

Last updated

Aug 3, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Tara Kelly-Granath

Title

Secretary

Phone

(707) 528-9411

Specialties & licenses 1

Addresses

Locations

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.

• Oloph K Granath, D.D.S.

  • Dentist
  • Santa Rosa, CA
  • NPI 1700022068
  NPD (past)

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

{
    "created_epoch": "1312329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312329600000",
    "number": "1790063089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 4TH ST",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954043259",
            "telephone_number": "707-528-9411",
            "fax_number": "707-528-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 4TH ST",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954043259",
            "telephone_number": "707-528-9411",
            "fax_number": "707-528-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLOPH K. GRANATH, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-03",
        "last_updated": "2011-08-03",
        "status": "A",
        "authorized_official_last_name": "KELLY-GRANATH",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "707-528-9411",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "32309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debbie Oliver, MFT
• Jason Oliver, DO
• Melissa Allie Olivo
• Olivia Carmen Olmsted, AMFT
• Lora Olney
• Keith Olsen
• Lucy Olson, MFT
• Steven H. Olson, MD
• Theodore Olson, M.D.
• John Omaha, MFT

• General Practice Dentistry in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2011; 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.