DR. MARK ERNEST GRANGER (NPI# 1164490017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164490017 |
| Entity Type | Individual |
| Full Name | DR. MARK ERNEST GRANGER |
| Credential | D.D.S. |
| Practice Address |
2525 S Wadsworth Blvd Suite #23 Lakewood CO 80227-3273 |
| Practice Telephone | 3039850909 |
| Mailing Telephone | 3039850909 |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
104991 | CO | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851761449 | Mark Granger | Behavioral Analyst | 4935 Pete Nation Rd, Starks, LA 70661-4025 | 2015-09-25 |
| 1134140304 | Mark Joseph Granger | Physical Therapist | 4223 Orange Beach Blvd, Suite D, Orange Beach, AL 36561-3459 | 2006-07-22 |
| Street Address |
2525 S WADSWORTH BLVD SUITE #23 |
| City | LAKEWOOD |
| State | CO |
| Zip Code | 80227-3273 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275505125 | Hugh Scott Stewart | Dentist | 2525 S Wadsworth Blvd, #11, Lakewood, CO 80227-3273 | 2006-02-05 |
| 1659905883 | Mackenzie Caschette | Behavioral Analyst | 2525 S Wadsworth Blvd, Lakewood, CO 80227-3273 | 2020-02-26 |
| 1154966943 | Cristin Bazzanella | Occupational Therapist | 2525 S Wadsworth Blvd, Lakewood, CO 80227-3273 | 2019-11-15 |
| 1083258206 | Michelle A Sexton | Physical Therapist | 2525 S Wadsworth Blvd, Lakewood, CO 80227-3273 | 2019-10-31 |
| 1124510185 | Amanda Joy Poulson | Behavioral Analyst | 2525 S Wadsworth Blvd, Lakewood, CO 80227-3273 | 2018-06-05 |
| 1053775817 | Hart Therapy, Inc | Community/Behavioral Health | 2525 S Wadsworth Blvd, Suite 303, Lakewood, CO 80227-3273 | 2016-04-07 |
| 1730510157 | Connie Smith | Registered Nurse | 2525 S Wadsworth Blvd, #303, Lakewood, CO 80227-3273 | 2013-12-11 |
| 1689959074 | Suzanne Legg-matthews | Physical Therapist | 2525 S Wadsworth Blvd, Suite 303, Lakewood, CO 80227-3273 | 2011-10-17 |
| 1215218409 | Julianna Mix | Physical Therapy Assistant | 2525 S Wadsworth Blvd, Suite 303, Lakewood, CO 80227-3273 | 2011-09-01 |
| 1487935573 | Heather Sukigara | Occupational Therapy Assistant | 2525 S Wadsworth Blvd, Suite 303, Lakewood, CO 80227-3273 | 2011-09-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326541947 | Caroline Nicole Desjardins | Counselor | 2460 W 26th Ave Bldg C Ste 217, Denver, CO 80227 | 2018-03-09 |
| 1689024986 | Ethan Daniel Light | Audiologist | 10881 W. Asbury Ave., Suite 110, Lakewood, CO 80227 | 2016-06-16 |
| 1124476098 | Rachel Patterson | Nurse Practitioner | 3190 S Wadsworth Blvd Ste 250, Lakewood, CO 80227 | 2016-06-01 |
| 1326425901 | Lisa Myers | Social Worker | 2050 S Kipling St, Lakewood, CO 80227 | 2015-05-02 |
| 1497174619 | Pamela Ann Gunn | Registered Nurse | 10631 W. Vassar Place, Lakewood, CO 80227 | 2014-04-15 |
| 1336588912 | Ashlie Bell | Social Worker | 3333 S Wadsworth Blvd Ste 160, Lakewood, CO 80227 | 2013-06-18 |
| 1326336678 | Anna C Ferman | Registered Nurse | 10035 W Dartmouth Ave C207, Lakewood, CO 80227 | 2011-07-20 |
| 1124353701 | Katherine Ream Palomino | Nurse Anesthetist, Certified Registered | 3333 S. Wadsworth Blvd, #d-100, Lakewood, CO 80227 | 2009-10-15 |
| 1457502205 | National Institute for Change, P.C. | Community/Behavioral Health | 3225 S Wadsworth Blvd, Unit T, Lakewood, CO 80227 | 2008-10-09 |
| 1952565996 | Children's Dental Center | Dentist | 2323 South Wadsworth Blvd, Suite #104, Lakewood, CO 80227 | 2008-07-17 |
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| 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 |
|---|---|---|---|---|
| 1699386706 | Westgate Family Dentistry | Dentist | 2323 S Wadsworth Blvd Ste 109, Lakewood, CO 80227-3254 | 2020-08-12 |
| 1467076034 | Cornelius Joseph Osullivan | Dentist | 13616 Madison Ave, Lakewood, OH 44107-4709 | 2020-05-30 |
| 1245870336 | My Local Colorado Dental Practice, LLC | Dentist | 264 Union Blvd Ste 200, Lakewood, CO 80228-1970 | 2020-01-07 |
| 1265082366 | Leong and Pandhoh Dental Corporation | Dentist | 2710 Carson St, Lakewood, CA 90712-4051 | 2019-09-19 |
| 1598319550 | Golnaz Sadat Samimifar | Dentist | 325 S Teller St Ste 280, Lakewood, CO 80226-7389 | 2019-07-29 |
| 1861044232 | Bryce Jeffrey Plancich | Dentist | 5726 100th St Sw, Lakewood, WA 98499-2730 | 2019-07-15 |
| 1578122628 | Marc Joseph Salme | Dentist | 386 E Fairmount Ave, Lakewood, NY 14750-2130 | 2019-06-12 |
| 1376023101 | Edward J Wang | Dentist | 5606 Lakewood Towne Center Blvd Sw Ste B, Lakewood, WA 98499-3894 | 2018-08-21 |
| 1740649839 | Justin Ford Becerra | Dentist | 2323 S Wadsworth Blvd Ste 1778, Lakewood, CO 80227-3274 | 2016-02-17 |
| 1740657378 | Timothy M. Schroeder Dds | Dentist | 6565 W Jewell Ave Ste 3, Lakewood, CO 80232-7102 | 2015-08-31 |
| Find all providers in LAKEWOOD | ||||
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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.