Individual provider Active NPI

Steven Beidler Grater, D.M.D.

  • General Practice Dentistry
  • Harrisburg, PA
National Provider Identifier
1093871048
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS028622L Issued in PA
Practice address
4129 Locust LN
Harrisburg, PA 17109-4120
Phone
(717) 657-3326
Fax
(717) 909-0606
NPI assigned
Dec 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 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 DS028622L PA Primary

Addresses

Primary practice location

4129 Locust LN
Harrisburg, PA 17109-4120

Mailing address

4129 Locust LN
Harrisburg, PA 17109-4120
Phone (717) 657-3326

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20150529000338 PA Order and Referring Only - DentistPractitioner - Dentist 0941520191

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Friedman DMD & Grater DMD, PC General Practice 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": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093871048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4129 LOCUST LN",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171094120",
            "telephone_number": "717-657-3326",
            "fax_number": "717-909-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4129 LOCUST LN",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171094120",
            "telephone_number": "717-657-3326",
            "fax_number": "717-909-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRATER",
        "first_name": "STEVEN",
        "middle_name": "BEIDLER",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS028622L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.