MARLIA SANDRA GRANIGAN DMD
NPI 1316505902
Student in an Organized Health Care Education/Training Program in Rockland, MA

Active since May 30, 2019PECOS Enrolled
64 MONCRIEF RD, ROCKLAND, MA 02370(781) 974-8694 Get Directions Write a Review

NPPES record last updated: May 30, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marlia Sandra Granigan Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARLIA SANDRA GRANIGAN DMD (NPI 1316505902) is an individual student in an organized health care education/training program in Rockland, Massachusetts and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316505902
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMARLIA SANDRA GRANIGANCredential: DMD
Location Address64 MONCRIEF RDRockland, MA 02370-1528
Mailing Address64 Moncrief RdRockland, MA 02370-1528 · (781) 974-8694
Sole ProprietorNo
Enumeration DateMay 30, 2019
NPI 1316505902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
64 MONCRIEF RD, Rockland, MA 02370

Other Identifiers 1

Other00000000MA · Dmd

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Marlia Sandra Granigan Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marlia Granigan's NPI number?

The NPI number for Marlia Granigan is 1316505902. It was assigned to this individual provider in the NPPES registry on May 30, 2019.

Where is Marlia Granigan located?

Marlia Granigan practices at 64 Moncrief Rd, Rockland, MA 02370. The listed phone number is (781) 974-8694.

What is Marlia Granigan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Marlia Granigan enrolled in Medicare?

Yes. Marlia Granigan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Marlia Granigan was last updated on May 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.