MR. PAUL R GRADY (NPI# 1437145554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437145554 |
| Entity Type | Individual |
| Full Name | MR. PAUL R GRADY |
| Credential | DDS |
| Practice Address |
1115 B Street Plummer ID 83851-0388 |
| Mailing Address |
2616 E Packsaddle Dr Coeur D Alene ID 83815-7923 |
| Practice Telephone | 2086861931 |
| Practice Fax Number | 2086860242 |
| Mailing Telephone | 2086861110 |
| Mailing Fax Number | 2086860242 |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D3849 | ID | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073625372 | Paul Francis Grady | Dentist | 7305 N Military Trl, Riviera Beach, FL 33410-7417 | 2006-08-31 |
| 1902897010 | Paul Grady | Social Worker | 121 W Main St, Port Washington, WI 53074-1813 | 2005-10-31 |
| Street Address |
1115 B STREET |
| City | PLUMMER |
| State | ID |
| Zip Code | 83851-0388 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528326519 | Lovinia Alexander | Counselor | 1115 B Street, Plummer, ID 83851-0388 | 2012-04-26 |
| 1568739548 | Kristi Mathistad | Counselor | 1115 B Street, Plummer, ID 83851 | 2011-11-19 |
| 1881900900 | Providence Health & Services - Washington | Internal Medicine | 1115 B Street, Plummer, ID 83851-0000 | 2010-08-26 |
| 1366637068 | Benewah Medical Center | Clinic/Center | 1115 B Street, Plummer, ID 83851-0388 | 2007-09-06 |
| 1225244551 | Kimberley Dawn Legaspi | Dental Hygienist | 1115 B Street, Plummer, ID 83851-0388 | 2007-05-15 |
| 1760698013 | Sandra M Mcmichael | Counselor | 1115 B Street, Plummer, ID 83851-0388 | 2007-05-15 |
| 1871713198 | Carla Rae Patterson | Dietitian, Registered | 1115 B Street, Plummer, ID 83851 | 2007-04-27 |
| 1417010323 | James W Allen | Dentist | 1115 B Street, Benewah Medical Center, Plummer, ID 83851 | 2006-12-19 |
| 1558457721 | David J Ochoa | Radiologic Technologist | 1115 B Street, Benewah Medical Center, Plummer, ID 83851 | 2006-10-05 |
| 1306948674 | Benewah Medical Center | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1115 B Street, Plummer, ID 83851 | 2006-09-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326575325 | Terrin Loe | Dental Hygienist | 358-786 Long Road, Plummer, ID 83851 | 2017-05-22 |
| 1639542830 | Selene Bonnell-hall | Physical Therapy Assistant | 1100 A Street, Plummer, ID 83851 | 2015-11-10 |
| 1609245059 | Caley Jordan | Pharmacist | 427 N 12 St, Plummer, ID 83851 | 2015-09-16 |
| 1861741282 | Plummer Gateway Fire Protection | Ambulance | 609 Poleyard Rd, Plummer, ID 83851 | 2012-08-30 |
| 1497040349 | Jason Ford Chapman | General Practice | 427 N. 12th St., Plummer, ID 83851 | 2011-06-17 |
| 1861797060 | Tiffany Marie Korrer | Physical Therapy Assistant | 1100 A. Street, Plummer, ID 83851 | 2011-01-19 |
| 1710290234 | Brian Meyer | Optometrist | 427 Nth 12th St, Plummer, ID 83851 | 2010-07-26 |
| 1386884369 | James Smith | Clinical Medical Laboratory | 1115 E. St, Plummer, ID 83851 | 2009-03-03 |
| 1134378169 | Robert Samuel Davis | Physician Assistant | 427 N 12th St., Plummer, ID 83851 | 2008-09-15 |
| 1013192210 | Nikole J Mills | Nurse Practitioner | 427 N. 12th Street, Plummer, ID 83851 | 2008-01-07 |
| Find all providers in zip 83851 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760471783 | David M Holecek | Dentist | 1115 B St, Plummer, ID 83851-0388 | 2005-10-21 |
| 1700875093 | Terry B Hale | Dentist | 1115 B Street, Plummer, ID 83851-0388 | 2005-10-19 |
| 1235125998 | Frank C Allen | Dentist | 1115 B Street, Plummer, ID 83851-0388 | 2005-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891304556 | Birchwood Dental, Pllc | Dentist | 3325 N Ten Mile Rd Ste 140, Meridian, ID 83646-6951 | 2020-07-29 |
| 1588273635 | Atlantis Dental Care, P.a. | Dentist | 13238 W Persimmon Ln Ste 100, Boise, ID 83713-1968 | 2020-07-24 |
| 1235747338 | Dentists of Boise and Orthodontics, PC | Dentist | 7500 W State St Ste 110, Boise, ID 83714-6074 | 2020-07-15 |
| 1346895232 | Tejasi Avasare | Dentist | 8321 W Overland Rd, Boise, ID 83709-1640 | 2019-08-07 |
| 1740835248 | Braden Comstock | Dentist | 2329 N Merritt Creek Loop, Coeur D Alene, ID 83814-4950 | 2019-08-02 |
| 1902450430 | Jaren M Thueson | Dentist | 106 E 1st N, Rexburg, ID 83440-1614 | 2019-08-01 |
| 1528610359 | Melissa Marie Pysnak | Dentist | 8850 W Emerald St Ste 150, Boise, ID 83704-4809 | 2019-07-11 |
| 1811555758 | Daniel Whitesitt | Dentist | 14596 Id-41, Rathdrum, ID 83858 | 2019-06-05 |
| 1104483122 | Meghan Cyrena Bristlin | Dentist | 3326 4th St Ste 3, Lewiston, ID 83501-4455 | 2019-05-24 |
| 1124684584 | Trevor Tafoya Dds Victory Dental, Pllc | Dentist | 7421 W Victory Rd, Boise, ID 83709-5106 | 2019-05-11 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.