SW Grant PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D-3981 Issued in ID

Legal business name

SW GRANT PC

Practice address

2275 S Eagle Rd
Ste 140
Meridian, ID 83642-5079

Phone

(208) 938-3190

Fax

(208) 888-1571

NPI assigned

Apr 28, 2008

Last updated

Sep 16, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Scott William Grant, DMDNPI 1194898767

Title

Dentist

Phone

(208) 938-3190

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Scott William Grant, DMD

  • Dentist
  • Meridian, ID
  • NPI 1194898767
  NPD (past) Authorized official
• Cody Ray Eaton, D.D.S.

  • Dentist
  • Meridian, ID
  • NPI 1245679638
  NPD (past)

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410825600000",
    "number": "1881869055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2275 S EAGLE RD",
            "address_2": "STE 140",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836425079",
            "telephone_number": "208-938-3190",
            "fax_number": "208-888-1571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2275 S EAGLE RD",
            "address_2": "STE 140",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836425079",
            "telephone_number": "208-938-3190",
            "fax_number": "208-888-1571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SW GRANT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-28",
        "last_updated": "2014-09-16",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "208-938-3190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D-3981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807480600",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "6P052",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Superior Vein Care, PLLP
• Surgery Center of Idaho LLC
• Surgical Center of TVH
• Marisue Susman, NP
• Rebekah M Svadlenka, NP
• Marcia E Swain, CCC-SLP
• Keith R Swainston, NP
• Ben Swanson, PHD
• Elizabeth A Swanson, M.D.
• Sweet Home

• General Practice Dentistry in Meridian, ID
• Providers in Meridian, ID by specialty
• General Practice Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; 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.