DR. GRANT MICHAEL HARDISTY (NPI# 1104342286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104342286 |
| Entity Type | Individual |
| Full Name | DR. GRANT MICHAEL HARDISTY |
| Credential | D.D.S. |
| Practice Address |
924 Williams Park Dr Bedford IN 47421-6713 |
| Mailing Address |
1377 Estuary Dr Indianapolis IN 46217-5267 |
| Practice Telephone | 8122792022 |
| Practice Fax Number | 8122779915 |
| Mailing Telephone | 3179372661 |
| Enumeration Date | 2017-08-20 |
| Last Update Date | 2017-08-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 12012807A | IN | Dental Providers |
| Street Address |
924 WILLIAMS PARK DR |
| City | BEDFORD |
| State | IN |
| Zip Code | 47421-6713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114406303 | Leana Michelle Massimini | Speech-Language Pathologist | 3710 Kenneth Simpson Ln, Bedford, IN 47421 | 2018-08-09 |
| 1497246888 | Sara Lehr Corry | Counselor | 2325 Q St., Bedford, IN 47421 | 2018-05-22 |
| 1760737274 | Lisa Lynne Autry | Social Worker | 2125 16th Street, Bedford, IN 47421 | 2012-07-20 |
| 1285998153 | Reid Clipp Crosby | Obstetrics & Gynecology | 118woodhill Dr, Bedford, IN 47421 | 2012-06-26 |
| 1730453184 | Fields Chiropractic Inc | Chiropractor | 2418 W 16th St, Bedford, IN 47421 | 2012-03-02 |
| 1639461783 | Lori Wininger | Physical Therapy Assistant | 2137 16th Street, Bedford, IN 47421 | 2011-05-09 |
| 1871743716 | Union Optical and Eyecare Center, Inc. | Optometrist | 3343 Michael Ave, Bedford, IN 47421 | 2008-09-29 |
| 1326207176 | Ross Wright | Surgery | 179 Shawswick Road, Bedford, IN 47421 | 2008-06-06 |
| 1336320563 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 1510 Clinic Dr, Bedford, IN 47421 | 2007-11-15 |
| 1306031992 | Assisted Living Concepts Inc | Assisted Living Facility | 3008 Shawnee Drive, South Bedford, IN 47421 | 2007-09-07 |
| Find all providers in zip 47421 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750738019 | Floss and Gloss | Dentist | 505 N Industrial Blvd, #800, Bedford, TX 76021-6168 | 2016-05-17 |
| 1669853503 | Durga Buchupally | Dentist | 2212 Central Dr Ste 101, Bedford, TX 76021-5835 | 2015-06-16 |
| 1962827709 | Rizwaan Rauf, Dds Pllc | Dentist | 4105 Highway 121, 610, Bedford, TX 76021-3039 | 2014-03-04 |
| 1205186814 | Dulcimeire Schulmeyer | Dentist | 1404 Brown Trl Ste C, Bedford, TX 76022-6417 | 2012-09-12 |
| 1124387196 | 1-stop Dental Pllc | Dentist | 2101-150 Hardwood Road, Unit #6, Bedford, TX 76021 | 2012-05-11 |
| 1972819985 | Prachi Vartikar | Dentist | 3704 Cheek-sparger Road, Suite100, Bedford, TX 76201 | 2010-08-27 |
| 1780859934 | Susan Christine Millner | Dentist | 3808 Victoria Ct, Bedford, TX 76021-6159 | 2008-04-29 |
| 1073781852 | John C Holmes | Dentist | 448c Old Post Rd, Bedford, NY 10506 | 2008-02-14 |
| 1053590646 | Eugene Michael Tedaldi Sr. | Dentist | Main Street 26-28 Village Green, Suite 5, Bedford, NY 10506 | 2007-10-31 |
| 1295927531 | Bethany Bannon | Dentist | 9510 Lincoln Hwy, Bedford, PA 15522-3760 | 2007-08-10 |
| Find all providers in BEDFORD | ||||
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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.