Dennis Wayne Grandy, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

E3293 Issued in CA

Practice address

3939 J St
Suite 270
Sacramento, CA 95819-3631

Phone

(916) 454-3668

Fax

(916) 454-9255

NPI assigned

Sep 26, 2005

Last updated

Apr 15, 2021By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Camarda Foot Clinic, Inc.

  • Podiatrist
  • Danville, CA
  • NPI 1184770331
  NPD (past)

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618444800000",
    "number": "1841286861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 SCRIPPS DR STE 306",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958256318",
            "telephone_number": "916-920-0371",
            "fax_number": "916-920-8533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 J ST",
            "address_2": "SUITE 270",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958193631",
            "telephone_number": "916-454-3668",
            "fax_number": "916-454-9255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANDY",
        "first_name": "DENNIS",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-26",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E3293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E32930",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaxon Marcel Grandchamp, SUDRC
• Kayla Granderson
• Sirisha Grandhe, M.D.
• Janice Soriano Grandi, MD
• Grandy Podiatry Group
• Angela Granger
• Natalia Granina
• Kathleen Marie Granlund
• Kimberly A Grannis, M.D.
• Richard Frederick Grant Coons, PSY.D.

• Podiatrist in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.