Dorothy Ruth Granberry

Primary specialty

Other TechnicianTaxonomy code 247200000X

Practice address

4220 N 20TH Ave
100
Phoenix, AZ 85015-5101

Phone

(602) 254-9701

Fax

(602) 252-0830

NPI assigned

Sep 20, 2013

Sex

Female

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

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

{
    "created_epoch": "1379635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379635200000",
    "number": "1811323934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14602 N 19TH AVE",
            "address_2": "148",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850237102",
            "telephone_number": "480-347-5702",
            "fax_number": "602-252-0830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 N 20TH AVE",
            "address_2": "100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850155101",
            "telephone_number": "602-254-9701",
            "fax_number": "602-252-0830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANBERRY",
        "first_name": "DOROTHY",
        "middle_name": "RUTH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-20",
        "last_updated": "2013-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noah David Grams, M.D.
• Norman Dean Gramstad, DO
• Nickalaus Lane Gramze, M.D.
• Andrea Grana, PHARMD
• Kristina Marie Granados, MD
• Grand Canyon Acquisition Co LLC
• Grand Canyon Anesthesiology Consultants PLC
• Grand Canyon Behavior Health Services LLC
• Grand Canyon Dental, PLLC
• Grand Canyon Education, Inc.

• All providers in Phoenix, AZ
• Other Technician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2013; 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.