Individual provider Active NPI

Grant Austin Prior, DDS

  • General Practice Dentistry
  • Livonia, MI
National Provider Identifier
1992472138
Registry record updated Aug 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901601131 Issued in MI
Practice address
34441 8 Mile Rd Ste 114
Livonia, MI 48152-4013
Phone
(248) 476-4500
NPI assigned
Aug 25, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901601131 MI Primary

Addresses

Primary practice location

34441 8 Mile Rd Ste 114
Livonia, MI 48152-4013

Mailing address

36733 Chesapeake Rd
Farmington Hills, MI 48335-1131
Phone (248) 563-8233

Other practice location 1

901 Taylor St
Chelsea, MI 48118-2301
Phone (734) 475-7303

Other practice location 2

2820 Baker Rd
Dexter, MI 48130-1181
Phone (734) 426-1580

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

LicenseStateTypeSpecialty
2901601131MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Stanford Dental,PLLC. PastSince Aug 29, 2021 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1629849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1992472138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36733 CHESAPEAKE RD",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483351131",
            "telephone_number": "248-563-8233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34441 8 MILE RD STE 114",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481524013",
            "telephone_number": "248-476-4500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 Taylor St",
            "address_purpose": "LOCATION",
            "city": "Chelsea",
            "state": "MI",
            "postal_code": "481182301",
            "country_code": "US",
            "telephone_number": "734-475-7303",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2820 Baker Rd",
            "address_purpose": "LOCATION",
            "city": "Dexter",
            "state": "MI",
            "postal_code": "481301181",
            "country_code": "US",
            "telephone_number": "734-426-1580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRIOR",
        "first_name": "GRANT",
        "middle_name": "AUSTIN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-25",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901601131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

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