Grant K Nakashima, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

20441 Issued in TX

Practice address

701 San Gabriel Village Blvd
Georgetown, TX 78626-5594

Phone

(512) 868-2233

Fax

(512) 868-2210

NPI assigned

Sep 6, 2006

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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Bjarnason Endodontics PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Georgetown, TX
  • NPI 1942482807
  NPD (past)

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1811090004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 SAN GABRIEL VILLAGE BLVD",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786265594",
            "telephone_number": "512-868-2233",
            "fax_number": "512-868-2210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 SAN GABRIEL VILLAGE BLVD",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786265594",
            "telephone_number": "512-868-2233",
            "fax_number": "512-868-2210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAKASHIMA",
        "first_name": "GRANT",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "20441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mylc, LLC
• Mytxtherapist PLLC
• Michael Edwin Samuel Nacol, MD
• Kunal Nagarsheth, PHARMD
• Brian Benjamin Nailling, PA-C
• Namrata Sharma DMD PA
• Jeevantha Nanayakkara, FNP -BC
• Tiffany Nanthavongdouangsy, DMD
• Rachelle Lou Naridze, M.D.
• National Vision Inc

• Oral and Maxillofacial Surgery (Dentist) in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Oral and Maxillofacial Surgery (Dentist) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.