Active NPI
Brittany Granoski, DMD, FRCD(C)
- Pediatric Dentistry
- Plymouth, MN
National Provider Identifier
1992358337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- D14621
- Practice address
- 2805 Campus Dr Ste 245
Plymouth, MN 55441-2678 - Phone
- (763) 383-1788
- NPI assigned
- Jul 23, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | D14621 | MN | Primary |
Addresses
Primary practice location
2805 Campus Dr Ste 245
Plymouth, MN 55441-2678
Mailing address
2805 Campus Dr Ste 245
Plymouth, MN 55441-2678
Phone (763) 383-1788
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D14621 | MN | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634083200000",
"number": "1992358337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2805 CAMPUS DR STE 245",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554412678",
"telephone_number": "763-383-1788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2805 CAMPUS DR STE 245",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554412678",
"telephone_number": "763-383-1788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANOSKI",
"first_name": "BRITTANY",
"name_prefix": "Dr.",
"credential": "DMD, FRCD(C)",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-23",
"last_updated": "2021-10-13",
"certification_date": "2021-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "MN",
"license": "D14621",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plymouth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.