Ann Z Granicz, D.M.D.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

12011893A Issued in IN

Practice address

1320 W Bloomfield Rd Ste B
Bloomington, IN 47403-2001

Phone

(812) 822-1196

NPI assigned

Jun 7, 2011

Sex

Female

Sole proprietor

Yes

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

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1307404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370995200000",
    "number": "1962796953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 W BLOOMFIELD RD STE B",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474032001",
            "telephone_number": "812-822-1196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 W BLOOMFIELD RD STE B",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474032001",
            "telephone_number": "812-822-1196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANICZ",
        "first_name": "ANN",
        "middle_name": "Z",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-07",
        "last_updated": "2013-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IN",
            "license": "12011893A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shayna Graber
• Hannah Graham, RBT
• Inesha Graham, RBT
• Kathryn Gramlich, NP
• Alison Marie Granger, MAT, ATC, LAT
• Blair Amber Grant, MS, BCBA
• Lacey Michelle Grant, LMHC
• Patricia L Grant, PT
• Evan M Graper, RBT
• Anthony L Grasch, PA-C

• Orthodontics and Dentofacial Orthopedics Dentistry in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.