Jeanne Antoinette Degrazia, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12009463A Issued in IN

Practice address

250 S Washington St
Hobart, IN 46342-4151

Phone

(219) 942-1730

Fax

(219) 942-0742

NPI assigned

Jan 16, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bulfa Dental Corporation

  • General Practice Dentistry
  • Hobart, IN
  • NPI 1245250448
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200441600000",
    "number": "1003092305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 S WASHINGTON ST",
            "city": "HOBART",
            "state": "IN",
            "postal_code": "463424151",
            "telephone_number": "219-942-1730",
            "fax_number": "219-942-0742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 S WASHINGTON ST",
            "city": "HOBART",
            "state": "IN",
            "postal_code": "463424151",
            "telephone_number": "219-942-1730",
            "fax_number": "219-942-0742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGRAZIA",
        "first_name": "JEANNE",
        "middle_name": "ANTOINETTE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-16",
        "last_updated": "2008-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12009463A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200534070",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hung Dang, DO
• David G. Gross, D.O., P.C.
• Brenda Davis
• Douglas C Dedelow, DO
• Deepak G Bhojraj M.D. Inc.
• Joseph A Dejoan, M.D.
• Nico Renzo Del Piccolo, MD
• Derrick Del Rosario, D.M.D.
• Ryan Dempsay
• Shavonnne Dennie, MSW

• General Practice Dentistry in Hobart, IN
• Providers in Hobart, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.