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DALE COURTNEY GRANTHAM MD
NPI 1932140456
Emergency Medicine - Emergency Medical Services in Rio Rancho, NM

Active since June 08, 2006
1110 BLUE SAGE RD NE, RIO RANCHO, NM 87144(509) 942-4793 Get Directions Write a Review

NPPES record last updated: May 30, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dale Courtney Grantham Md NPPES

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

DALE COURTNEY GRANTHAM MD (NPI 1932140456) is an individual emergency medical services provider in Rio Rancho, New Mexico, licensed in New Mexico (MD2012-0049193) and active in the NPI registry since June 2006. He maintains a secondary practice location in Kansas City.

NPPES Registry Identity

NPI1932140456
Entity TypeIndividualMale
Primary Taxonomy207PE0004X
Provider Legal NameDALE COURTNEY GRANTHAMCredential: MD
Location Address1110 BLUE SAGE RD NERio Rancho, NM 87144-5763
Mailing Address3129 N 109th TerKansas City, KS 66109-8901 · (509) 942-4793
Phone(509) 942-4793
Sole ProprietorNo
Enumeration DateJune 8, 2006
Last NPPES UpdateMay 30, 2023
NPPES CertifiedMay 30, 2023
✔ NPI 1932140456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency Medicine · Emergency Medical ServicesAllopathic & Osteopathic Physicians
Taxonomy Code207PE0004X
License✔ Licensed in NM · MD2012-0049193
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
Also ListedEmergency MedicineTaxonomy 207P00000X · License MD00041473 (WA), MD2012-0049193 (NM)
1110 BLUE SAGE RD NE, Rio Rancho, NM 87144
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Secondary Practice Location 1

Location 13129 N 109th TerKansas City, KS 66109-8901 · Phone (509) 942-4793

Other Identifiers 4

Medicaid8317067WA
Other3075GRWA · Bswa
Other605960008WA · Deeoic
Other0202687WA · Liwa

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 Dale Grantham's NPI number?

The NPI number for Dale Grantham is 1932140456. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Where is Dale Grantham located?

Dale Grantham practices at 1110 Blue Sage Rd NE, Rio Rancho, NM 87144. The listed phone number is (509) 942-4793.

What is Dale Grantham's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Emergency Medical Services, with taxonomy code 207PE0004X.

When was this NPI record last updated?

The NPPES record for Dale Grantham was last updated on May 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.