Bao-Thy N. Grant, D.D.S.,Inc.

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

License

52655 Issued in CA

Legal business name

BAO-THY N. GRANT, D.D.S.,INC.

Practice address

1110 E Chapman Ave
Suite 100
Orange, CA 92866-2139

Phone

(714) 771-7677

Fax

(714) 771-1518

NPI assigned

Feb 24, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Bao-Thy N Grant, D.D.S.,INC.NPI 1366612954

Title

Officer

Phone

(310) 408-8221

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bao-Thy Ngoc Grant, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Orange, CA
  • NPI 1366612954
  NPD (past) Authorized official
• James Mergelmeyer, DDS

  • Student in an Organized Health Care Education/Training Program
  • Orange, CA
  • NPI 1386005098
  NPD (past)

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

{
    "created_epoch": "1235433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235433600000",
    "number": "1841430345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 E CHAPMAN AVE",
            "address_2": "SUITE 100",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928662139",
            "telephone_number": "714-771-7677",
            "fax_number": "714-771-1518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 E CHAPMAN AVE",
            "address_2": "SUITE 100",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928662139",
            "telephone_number": "714-771-7677",
            "fax_number": "714-771-1518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAO-THY N. GRANT, D.D.S.,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-24",
        "last_updated": "2009-02-24",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "BAO-THY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "310-408-8221",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S.,INC."
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "52655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fania Banuelos
• Magdalena Banuelos
• Martha Patricia Banuelos, LMFT
• Fayez M Bany-Mohammed, MD
• Derek A Banyard, M.D.
• Phuong Hong Bao, MD
• Aja Bapp
• Dannmille Baquir, AU.D
• Mahnaz Baradar, N.P.
• Irene Liveris Barades, LMFT

• Oral and Maxillofacial Surgery Clinic/Center in Orange, CA
• Providers in Orange, CA by specialty
• Oral and Maxillofacial Surgery Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2009; 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.