Active NPI
Andrew Scott Grivas III, DDS
- General Practice Dentistry
- Sacramento, CA
National Provider Identifier
1255408928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 52726
- Practice address
- 2 Scripps Dr Ste 102
Sacramento, CA 95825-6207 - Phone
- (916) 929-9222
- Fax
- (916) 929-5848
- NPI assigned
- Nov 29, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 52726 | CA | Primary |
Addresses
Primary practice location
2 Scripps Dr Ste 102
Sacramento, CA 95825-6207
Mailing address
2 Scripps Dr Ste 102
Sacramento, CA 95825-6207
Phone (916) 929-9222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Aug 8, 2017 through Aug 8, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52726 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787702400000",
"number": "1255408928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 SCRIPPS DR STE 102",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958256207",
"telephone_number": "916-929-9222",
"fax_number": "916-929-5848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 SCRIPPS DR STE 102",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958256207",
"telephone_number": "916-929-9222",
"fax_number": "916-929-5848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIVAS",
"first_name": "ANDREW",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-29",
"last_updated": "2026-08-26",
"certification_date": "2026-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "52726",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.