Nathan Joseph Granillo, D.D.S., MSD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

59012 Issued in CA

Practice address

1630 El Nita LN
Hemet, CA 92544-4657

Phone

(951) 652-2234

Fax

(951) 652-5894

NPI assigned

Apr 30, 2011

Sex

Male

Sole proprietor

Yes

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

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.

• Nathan J. Granillo, DDS, Inc.

  dba Hemet Valley Orthodontics/Hemet Childrens Dentistry

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Hemet, CA
  • NPI 1285011569
  NPD (past) Authorized official

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

{
    "created_epoch": "1304121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392163200000",
    "number": "1801187430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "389 CYNTHIA CRES",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923736836",
            "telephone_number": "951-965-0841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 EL NITA LN",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925444657",
            "telephone_number": "951-652-2234",
            "fax_number": "951-652-5894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANILLO",
        "first_name": "NATHAN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.D.S., MSD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-30",
        "last_updated": "2014-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "59012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamarion Goodwin
• Benjamin Stuart Gordon, PA-C
• Roopa S Gowda
• George Goy, M.D.
• Varun Goyal
• Betty S Grant-Anderson, M.D.
• Ricky Neil Graves, CAARR
• Qiana Gray, NP
• Scott D. Gray, D.D.S.
• Tania Gray

• Orthodontics and Dentofacial Orthopedics Dentistry in Hemet, CA
• Providers in Hemet, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2014; 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.