DR. ROGER GRANNUM DDS
NPI 1003993502
Dentist - Oral and Maxillofacial Surgery in Brooklyn, NY

NPI Status: Active since November 01, 2006

Contact Information

760 BROADWAY
ORAL SURGERY ROOM 2C320
BROOKLYN, NY
ZIP 11206
Phone: (718) 963-8000
Fax: (718) 599-4912

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  • Individual
  • Male
  • Dentist
  • Oral and Maxillofacial Surgery
  • Accepts Insurance

About ROGER GRANNUM

This page provides the complete NPI Profile along with additional information for Roger Grannum, a provider established in Brooklyn, New York with a medical specialization in Dentist, focusing in oral and maxillofacial surgery . The healthcare provider is registered in the NPI registry with number 1003993502 assigned on November 2006. The practitioner's primary taxonomy code is 1223S0112X with license number 50052633 (NY). The provider is registered as an individual and his NPI record was last updated 9 years ago.

NPI
1003993502
Provider Name
DR. ROGER GRANNUM DDS
Gender
Male
Entity Type
Individual
Location Address
760 BROADWAY ORAL SURGERY ROOM 2C320 BROOKLYN, NY 11206
Location Phone
(718) 963-8000
Location Fax
(718) 599-4912
Mailing Address
760 BROADWAY ORAL SURGERY ROOM 2C230 BROOKLYN, NY 11206
Mailing Phone
(718) 963-8000
Mailing Fax
(718) 599-4912
Is Sole Proprietor?
Yes
Enumeration Date
11-01-2006
Last Update Date
01-06-2017
Code Navigator

A dentist like Roger Grannum is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist Oral and Maxillofacial Surgery

Taxonomy Code
1223S0112X
Type
Dental Providers
License No.
50052633
License State
NY
Taxonomy Description
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Bronze Essential 10150 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Bronze Essential 10150 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Bronze Essential 6500 HSA (+ Incentives) - HMO
  • Anthem Bronze Essential 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Bronze Essential POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Bronze Essential POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Bronze Pathway 10150 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Bronze Pathway 10600 ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Bronze Pathway 10600 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Bronze Pathway 6900 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Bronze Pathway 8500 for HSA - HMO
  • Anthem Bronze Pathway/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
  • Anthem Bronze Pathway/Lean HSA (+ Incentives) - HMO
  • Anthem Bronze Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Catastrophic Essential (+ Incentives) - HMO
  • Anthem Catastrophic Pathway (+ Incentives) - EPO
  • Anthem Gold Essential 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Gold Essential 2200 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • BlueCare Dental 4 Kids? 1A - PPO
  • BlueCare Dental 4 Kids? 1B - PPO
  • BlueCare Dental? 1A - PPO
  • BlueCare Dental? 1B - PPO
  • BlueCare Dental? 1C - PPO
  • BlueCare Dental? 1D - PPO
  • BlueCare Dental 4 Kids? 1A - PPO
  • BlueCare Dental 4 Kids? 1B - PPO
  • BlueCare Dental? 1A - PPO
  • BlueCare Dental? 1B - PPO
  • BlueCare Dental? 1C - PPO
  • BlueCare Dental? 1D - PPO
  • BlueCare Dental 1D - PPO
  • BlueCare Dental 4 Kids? 1A - PPO
  • BlueCare Dental 4 Kids? 1B - PPO
  • BlueCare Dental? 1A - PPO
  • BlueCare Dental? 1B - PPO
  • BlueCare Dental? 1C - PPO
  • BlueDental Copayment Q - PPO
  • BlueDental Copayment QF - PPO
  • HRI Essential Plus Plan - HMO
  • HRI Essential Plus Plan - PPO
  • HRI Preventive Family Plan - HMO
  • HRI Preventive Family Plan - PPO
  • HRI Total Care Plan - HMO
  • HRI Total Care Plan - PPO
  • Paramount Dental Essential Plus Plan - EPO
  • Paramount Dental Preventive Family Plan - EPO
  • Paramount Dental Total Care Plan - EPO
  • Alabama Preferred Plan - PPO
  • Alabama Preferred Plan (Pediatric Only) - PPO
  • Alabama Preferred Plus Plan - PPO
  • Alabama Preferred Plus Plan (Pediatric Only) - PPO
  • Alabama Wellness Essentials Plan - PPO
  • Florida Preferred Plan - PPO
  • Florida Preferred Plan (Pediatric Only) - PPO
  • Florida Preferred Plus Plan - PPO
  • Florida Preferred Plus Plan (Pediatric Only) - PPO
  • Florida Wellness Essentials Plan - PPO
  • High PPO Dental Plan - PPO
  • High PPO Dental Plan (Pediatric Only) - PPO
  • Kansas Preferred Plan - PPO
  • Kansas Preferred Plan (Pediatric Only) - PPO
  • Kansas Wellness Essentials Plan - PPO
  • Low PPO Dental Plan - PPO
  • Low PPO Dental Plan (Pediatric Only) - PPO
  • Mississippi Preferred Plan - PPO
  • Mississippi Preferred Plan (Pediatric Only) - PPO
  • Mississippi Wellness Essentials Plan - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
03084764MEDICAID (05)NY 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1003993502, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
0
Doubled → 0
Pos 4
3
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
9
Unchanged
Pos 7
3
Doubled → 6
Pos 8
5
Unchanged
Pos 9
0
Doubled → 0
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 9 → 18 → 9 3 → 6 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 0 + 3 + 1 + 8 + 9 + 6 + 5 + 0 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1003993502.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine (Gastroenterology)
760 BROADWAY, SUBSPECIALTY CLINICS, HEPATOLOGY
BROOKLYN, NY 11206
Physician Assistant (Medical)
760 BROADWAY
BROOKLYN, NY 11206
Physician Assistant (Medical)
760 BROADWAY
BROOKLYN, NY 11206
Internal Medicine (Pulmonary Disease)
760 BROADWAY, MEDICINE DEPARTMENT
BROOKLYN, NY 11206
Midwife
760 BROADWAY, 10TH FLR. OB/GYN
BROOKLYN, NY 11206
Midwife
760 BROADWAY
BROOKLYN, NY 11206
Psychiatry & Neurology (Psychiatry)
760 BROADWAY, ROOM 5A-8
BROOKLYN, NY 11206
Obstetrics & Gynecology
760 BROADWAY
BROOKLYN, NY 11206
Pediatrics
760 BROADWAY, RM. 6A23
BROOKLYN, NY 11206
Pediatrics
760 BROADWAY, WOODHULL MEDICAL AND MENTAL HEALTH CENTER
BROOKLYN, NY 11206
Psychiatry & Neurology (Psychiatry)
760 BROADWAY
BROOKLYN, NY 11206
Pediatrics
760 BROADWAY
BROOKLYN, NY 11206
Pediatrics (Neonatal-Perinatal Medicine)
760 BROADWAY, 6 TH FLOOR .DEPT. OF PEDIATRICS
BROOKLYN, NY 11206
Obstetrics & Gynecology
760 BROADWAY
BROOKLYN, NY 11206
Internal Medicine
760 BROADWAY, WOODHULL HOSPITAL MEDICINE DEPARTMENT
BROOKLYN, NY 11206
Pediatrics
760 BROADWAY
BROOKLYN, NY 11206
Psychiatry & Neurology (Psychiatry)
760 BROADWAY, WOODHULL MEDICAL MENTAL HEALTH CENTER
BROOKLYN, NY 11206
Physician Assistant
760 BROADWAY
BROOKLYN, NY 11206
Thoracic Surgery (Cardiothoracic Vascular Surgery)
760 BROADWAY
BROOKLYN, NY 11206
Psychiatry & Neurology (Psychiatry)
760 BROADWAY
BROOKLYN, NY 11206

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003993502, enumerated as an "individual" on November 01, 2006.

The provider is located at 760 BROADWAY ORAL SURGERY ROOM 2C320 BROOKLYN, NY 11206 and the phone number is (718) 963-8000.

Dentist with taxonomy code 1223S0112X and a focus in Oral and Maxillofacial Surgery.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Blue Cross and. Please consult your insurance carrier or call the provider to verify.