Grand Oaks Sleep Solutions LLC

Primary specialty

DentistTaxonomy code 122300000X

License

4585 Issued in SC

Legal business name

GRAND OAKS SLEEP SOLUTIONS LLC

Practice address

3905 Liberty Hwy
Anderson, SC 29621-1229

Phone

(864) 224-0809

Fax

(864) 224-0811

NPI assigned

Sep 1, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Gabrielle F Cannick, DMD, PHDNPI 1972739910

Title

Owner/Dentist

Phone

(864) 224-0809

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 1

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

• Gabrielle Ferguson Cannick, DMD, PHD

  • General Practice Dentistry
  • Anderson, SC
  • NPI 1972739910
  NPD Authorized official

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

{
    "created_epoch": "1504224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1871011593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3905 LIBERTY HWY",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296211229",
            "telephone_number": "864-224-0809",
            "fax_number": "864-224-0811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3905 LIBERTY HWY",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296211229",
            "telephone_number": "864-224-0809",
            "fax_number": "864-224-0811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND OAKS SLEEP SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-01",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CANNICK",
        "authorized_official_first_name": "GABRIELLE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "864-224-0809",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, PHD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "SC",
            "license": "4585",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Korey Richard Graettinger, APN
• Chris Graham, DSW, LCSW
• Kori Diane Graham, COTA/L
• Lori Katherine Graham, DPT
• Tony R. Graham, M.D.
• Dirk Graves, O.D.,M.N.S.
• Anna Shealy Gray, MSP/CCC-SLP
• Tonya Nechole Gray, MASTER OF ARTS
• Dawn Greathouse
• Courtney Green, DO

• Dentist in Anderson, SC
• Providers in Anderson, SC by specialty
• Dentist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.