Ioana Greceanu, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

008596 Issued in CT

Practice address

361 Bird St
Bridgeport, CT 06605-2804

Phone

(203) 330-6000

Fax

(203) 339-7192

NPI assigned

Apr 26, 2007

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

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.

• South-West Community Health Center, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bridgeport, CT
  • NPI 1699703686
  NPD (past)

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1073733820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 BIRD ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066052804",
            "telephone_number": "203-330-6000",
            "fax_number": "203-339-7192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 BIRD ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066052804",
            "telephone_number": "203-330-6000",
            "fax_number": "203-339-7192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRECEANU",
        "first_name": "IOANA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "008596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004236122",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pamela Gray, MD
• David I Grayer, M.D.
• Joseph A Graziano Jr., MA, LPC, NCC
• Sharon Graziano
• Greater Bridgeport Diagnostics LLC
• Laura J Greco
• Green Lotus Therapy PLLC
• Alexis Green
• Carina L Green
• Dymond Green

• General Practice Dentistry in Bridgeport, CT
• Providers in Bridgeport, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.