Individual provider Active NPI

Robert P Giuliani, DDS

  • General Practice Dentistry
  • Grass Valley, CA
National Provider Identifier
1013101096
Registry record updated Aug 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
25528 Issued in CA
Practice address
1061 E Main St
Suite 202
Grass Valley, CA 95945-5724
Phone
(530) 272-4201
Fax
(530) 272-4202
NPI assigned
Aug 31, 2007
Last updated
Aug 31, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 25528 CA Primary

Addresses

Primary practice location

1061 E Main St
Suite 202
Grass Valley, CA 95945-5724

Mailing address

1061 E Main St
Suite 202
Grass Valley, CA 95945-5724
Phone (530) 272-4201

Other identifiers 1

IdentifierTypeStateIssuer
25528OtherCACA DENTAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jun 15, 2016 through Jun 15, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
25528CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Janam Gill DDS Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1188518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188518400000",
    "number": "1013101096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1061 E MAIN ST",
            "address_2": "SUITE 202",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455724",
            "telephone_number": "530-272-4201",
            "fax_number": "530-272-4202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 E MAIN ST",
            "address_2": "SUITE 202",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455724",
            "telephone_number": "530-272-4201",
            "fax_number": "530-272-4202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIULIANI",
        "first_name": "ROBERT",
        "middle_name": "P",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-31",
        "last_updated": "2007-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "25528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA DENTAL LICENSE",
            "identifier": "25528",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grass Valley, CA

Sources for this page

Verify at the official NPI Registry.