Dora Grant, OPTICIAN

Primary specialty

OpticianTaxonomy code 156FX1800X

Practice address

8532 Castleton Corner Dr Ste 23
Indianapolis, IN 46250-3812

Phone

(317) 829-6047

NPI assigned

Oct 25, 2021

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

Electronic endpoints 1

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": "1635120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1942964093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 N PARKER AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462011202",
            "telephone_number": "317-345-9396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8532 CASTLETON CORNER DR STE 23",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462503812",
            "telephone_number": "317-829-6047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "DORA",
        "name_prefix": "Mrs.",
        "credential": "OPTICIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-25",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "chalant.info",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8532 Castleton Corner Dr Ste 23",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462503812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sharron Probert Grannis, M.D.
• Shaun J Grannis, M.D.
• Aidan Grant
• Brian William Grant, PH. D.
• Dominique Denise Grant
• Faustine Grant, MD
• Jon Grant, A.T.,C.
• Katherine-Jo Elizabeth Grant, RBT
• Kathryn Townshend Grant, DPT
• Laura Grant, BCBA

• All providers in Indianapolis, IN
• Optician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; 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.