Ana Valeria Narvaez Granados, DL15957

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

License

DL15957 Issued in MA

Practice address

77 Hospital Ave Ste 102
North Adams, MA 01247-2538

Phone

(413) 346-4242

Fax

(413) 346-4029

NPI assigned

Nov 9, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Christian Support & Healing Ministries Inc

  • Dental Clinic/Center
  • North Adams, MA
  • NPI 1700127925
  NPD
• Hillcrest Dental Care Inc

  • Dental Clinic/Center
  • North Adams, MA
  • NPI 1942649058
  NPD (past)

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

{
    "created_epoch": "1699488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1952175069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 HOSPITAL AVE STE 102",
            "city": "NORTH ADAMS",
            "state": "MA",
            "postal_code": "012472538",
            "telephone_number": "413-346-4242",
            "fax_number": "413-346-4029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 HOSPITAL AVE STE 102",
            "city": "NORTH ADAMS",
            "state": "MA",
            "postal_code": "012472538",
            "telephone_number": "413-346-4242",
            "fax_number": "413-346-4029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NARVAEZ GRANADOS",
        "first_name": "ANA",
        "middle_name": "VALERIA",
        "credential": "DL15957",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-09",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "MA",
            "license": "DL15957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Moultons Spectacle Shoppe
• Carrie J. Murphy, MSN, NP-C
• Karissa Lynn Myers
• Suk Namkoong, MD
• Nancy Bullett Physical Therapy of North Adams
• Marianne Nelson
• Kristen Isabelle Neuf
• Elaina Noblet
• Ana Nodal
• Nort

• Public Health Dentistry in North Adams, MA
• Providers in North Adams, MA by specialty
• Public Health Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; 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.