NICOLE DOMINIQUE GRANT DMD
NPI 1497197941
Dentist in Longview, WA

Q: What is Nicole Grant's NPI number?

The NPI number for Nicole Grant is 1497197941. It was assigned to this individual provider in the NPPES registry on July 25, 2013.

Q: What is Nicole Grant's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Grant was last updated on August 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since July 25, 2013PECOS Enrolled

1461 BROADWAY ST APT A, LONGVIEW, WA 98632(855) 433-6825 Get Directions Write a Review

NPPES record last updated: August 22, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Nicole Dominique Grant Dmd NPPES

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

NICOLE DOMINIQUE GRANT DMD (NPI 1497197941) is an individual dentist in Longview, Washington, licensed in Washington (DE60396563) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497197941

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameNICOLE DOMINIQUE GRANTCredential: DMD

Location Address1461 BROADWAY ST APT ALongview, WA 98632-3724

Mailing Address6950 Ne Campus WayHillsboro, OR 97124-5611 · (425) 293-8593

Phone(855) 433-6825

Sole ProprietorNo

Enumeration DateJuly 25, 2013

Last NPPES UpdateAugust 22, 2016

✔ NPI 1497197941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in WA · DE60396563

Definition

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.

1461 BROADWAY ST APT A, Longview, WA 98632

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Dominique Grant 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98632 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$71.29 typical visit price

range $18.56 – $141.11

Typical copayment $17.82 (range $4.64 – $35.27)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Nicole Grant's NPI number?

The NPI number for Nicole Grant is 1497197941. It was assigned to this individual provider in the NPPES registry on July 25, 2013.

Where is Nicole Grant located?

Nicole Grant practices at 1461 Broadway St Apt A, Longview, WA 98632. The listed phone number is (855) 433-6825.

What is Nicole Grant's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Nicole Grant enrolled in Medicare?

Yes. Nicole Grant is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicole Grant was last updated on August 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.