Individual provider Active NPI

Graydon Ramos Carr, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Chico, CA
National Provider Identifier
1255852620
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
104598 Issued in CA
Practice address
2755 Esplanade
Chico, CA 95973-1114
Phone
(530) 343-7021
NPI assigned
Jul 6, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 104598 CA Primary

Addresses

Primary practice location

2755 Esplanade
Chico, CA 95973-1114

Mailing address

2755 Esplanade
Chico, CA 95973-1114
Phone (530) 343-7021

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
104598CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hood and Carr Orthodontics Orthodontics and Dentofacial Orthopedics CurrentSince Dec 31, 2023 Accepting new patients
Graydon Carr, D.D.S., Inc. Orthodontics and Dentofacial Orthopedics CurrentSince Dec 31, 2023 Accepting new patients

Locations

2755 Esplanade
Chico, CA 95973
Phone (530) 242-6017

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": "1499299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1255852620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2755 ESPLANADE",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959731114",
            "telephone_number": "530-343-7021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2755 ESPLANADE",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959731114",
            "telephone_number": "530-343-7021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "GRAYDON",
        "middle_name": "RAMOS",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-06",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "104598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; 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.