MR. PATRICK C. GRANT (NPI# 1790007714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790007714 |
Entity Type | Individual |
Full Name | MR. PATRICK C. GRANT |
Credential | LD |
Practice Address |
2902 S 74th St Tacoma WA 98409-5911 |
Practice Telephone | 2534719999 |
Practice Fax Number | 2534742337 |
Mailing Telephone | 2534719999 |
Mailing Fax Number | 2534742337 |
Enumeration Date | 2010-02-17 |
Last Update Date | 2010-02-18 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 122400000X | Denturist | DN00000196 | WA | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | 5025085 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154947026 | Patrick Michael Grant | Behavior Technician | 108 Doctors Park, Saint Cloud, MN 56303-1207 | 2020-06-17 |
1801444666 | Patrick Michael Grant | Physical Therapist | 1200 41st Ave Ste H, Capitola, CA 95010-3900 | 2019-08-26 |
1811102734 | Patrick Grant | Radiology | 1000 1st St N, Alabaster, AL 35007-8703 | 2007-05-14 |
Street Address |
2902 S 74TH ST |
City | TACOMA |
State | WA |
Zip Code | 98409-5911 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053942805 | Terah Jo Barker | Behavior Technician | 4301 South Pine St., Suite 505, Tacoma, WA 98409 | 2020-01-30 |
1427526797 | Carrissa Bentley | Social Worker | 3901 S. Fife Street, Tacoma, WA 98409 | 2018-11-05 |
1396255972 | Julie Ann Sunada | Nurse Practitioner | 2505 S 38th St Ste 109, Tacoma, WA 98409 | 2017-10-09 |
1306389820 | Laura Town | Chiropractor | 3640 S Cedar St, Ste P, Tacoma, WA 98409 | 2016-12-01 |
1114476082 | Chelsea Marie Jensen | Massage Therapist | 701 Commerce Street Apartment 307, Tacoma, WA 98409 | 2016-10-03 |
1831574730 | Artika Naidu | Optometrist | 4502 South Steele #700, Located Inside Macy's Lenscrafters, Tacoma, WA 98409 | 2015-07-22 |
1972918399 | Tacoma Dental and Implant Center Ps | Clinic/Center | 4704 South Oakes St #103, Tacoma, WA 98409 | 2014-06-24 |
1457795957 | Ana Amparo Penas Vasquez | Clinical Nurse Specialist | 2505 South 38th St, Bldg A Suite 109, Tacoma, WA 98409 | 2013-04-26 |
1033452156 | Richard William Solitaire | Counselor | 4301 S. Pine St., 30-19, Tacoma, WA 98409 | 2013-03-27 |
1790042810 | Tara Kerin Garland | Counselor | 5921 S. Verde St., Tacoma, WA 98409 | 2012-04-13 |
Find all providers in zip 98409 |
Taxonomy Code | 122400000X |
Grouping | Dental Providers |
Classification | Denturist |
Definition to come. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053884338 | Juan Edward Berlanga | Denturist | 654 N Rochester St, Tacoma, WA 98406-1724 | 2019-01-09 |
1073024980 | Megan Elizabeth Charron Mourfield | Denturist | 725 St Helens Ave S, Tacoma, WA 98402 | 2017-10-18 |
1558663500 | Sofya V Kochubey | Denturist | 5904 N 45th St, Tacoma, WA 98407-1902 | 2010-11-24 |
1922329713 | Alan Arthur Anderson | Denturist | 1622 S Mildred St, Suite A, Tacoma, WA 98465-1610 | 2010-06-16 |
1992959670 | Yvonne Monique Bakker | Denturist | 921 121st St E, Tacoma, WA 98445-3035 | 2008-11-07 |
1366691677 | Sixth Avenue Denture Center, Pllc | Denturist | 1217 6th Ave, Tacoma, WA 98405-4004 | 2008-09-10 |
1578740759 | Puget Sound Dentues | Denturist | 601 N Puget Sound Ave, Tacoma, WA 98406-5425 | 2008-01-30 |
1679782973 | Richard C Johnson | Denturist | 3720 6th Ave, Ste A, Tacoma, WA 98406-4938 | 2007-05-22 |
1922179571 | Troy Jonathan Wendell | Denturist | 225 S Tacoma Way, Tacoma, WA 98402-1295 | 2006-11-13 |
1578008363 | Yu Ri Cho | Denturist | 3716 Pacific Ave, Suite H, Tacoma, WA 98418-7836 | 2017-01-03 |
Find all providers in TACOMA |
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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.