Individual provider Active NPI

Michael Grabow, DDS

  • Endodontics
  • Chandler, AZ
National Provider Identifier
1033304530
Registry record updated Sep 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
4842 Issued in AZ
Practice address
3800 W Ray Rd
Suite 7
Chandler, AZ 85226-5940
Phone
(480) 857-4047
Fax
(480) 857-4049
NPI assigned
Sep 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 4842 AZ Primary

Addresses

Primary practice location

3800 W Ray Rd
Suite 7
Chandler, AZ 85226-5940

Mailing address

3800 W Ray Rd
Suite 7
Chandler, AZ 85226-5940
Phone (480) 857-4047

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20150713000776 AZ Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 7517279086

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4842AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Grabow Endodontics, P.C. Endodontics 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1189296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189296000000",
    "number": "1033304530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 W RAY RD",
            "address_2": "SUITE 7",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852265940",
            "telephone_number": "480-857-4047",
            "fax_number": "480-857-4049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 W RAY RD",
            "address_2": "SUITE 7",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852265940",
            "telephone_number": "480-857-4047",
            "fax_number": "480-857-4049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRABOW",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-09",
        "last_updated": "2007-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "AZ",
            "license": "4842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.