Individual provider Active NPI

Joseph Daniel Giangrasso Sr., DDS

  • General Practice Dentistry
  • Boston, MA
National Provider Identifier
1225113285
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11270 Issued in MA
Practice address
279 Hanover St
Boston, MA 02113-1810
Phone
(617) 227-6410
Fax
(617) 227-6416
NPI assigned
Oct 26, 2006
Sex
Male
Sole proprietor
Yes

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 11270 MA Primary

Addresses

Primary practice location

279 Hanover St
Boston, MA 02113-1810

Mailing address

279 Hanover St
Boston, MA 02113-1810
Phone (617) 227-6410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20160414000440 MA Order and Referring Only - DentistPractitioner - Dentist 6406154046

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph D. Giangrasso D.D.S. General Practice Past Accepting new patients
Giangrasso Dental LLC General Practice Past Accepting new patients

Organizations & group practices 2

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": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225113285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "279 HANOVER ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021131810",
            "telephone_number": "617-227-6410",
            "fax_number": "617-227-6416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "279 HANOVER ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021131810",
            "telephone_number": "617-227-6410",
            "fax_number": "617-227-6416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIANGRASSO",
        "first_name": "JOSEPH",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "11270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.