Individual provider Active NPI

Fred Elliot Grapel, DDS

  • General Practice Dentistry
  • Ny, NY
National Provider Identifier
1164590402
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
36403 Issued in NY
Practice address
48 W 48TH St
Suite 703
Ny, NY 10036
Phone
(212) 768-0540
Fax
(212) 768-1040
NPI assigned
Dec 4, 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 36403 NY Primary

Addresses

Primary practice location

48 W 48TH St
Suite 703
Ny, NY 10036

Mailing address

48 W 48TH St
Suite 703
Ny, NY 10036
Phone (212) 768-0540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
36403NYMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164590402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 W 48TH ST",
            "address_2": "SUITE 703",
            "city": "NY",
            "state": "NY",
            "postal_code": "10036",
            "telephone_number": "212-768-0540",
            "fax_number": "212-768-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 W 48TH ST",
            "address_2": "SUITE 703",
            "city": "NY",
            "state": "NY",
            "postal_code": "10036",
            "telephone_number": "212-768-0540",
            "fax_number": "212-768-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAPEL",
        "first_name": "FRED",
        "middle_name": "ELLIOT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "36403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ny, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.