Active NPI
Joseph Edward Gian Grasso, DMD
- Periodontics
- Philadelphia, PA
National Provider Identifier
1265595342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- DS018466L
- Practice address
- 7601 Castor Ave
Suite 300
Philadelphia, PA 19152 - Phone
- (215) 722-4290
- Fax
- (215) 722-3734
- NPI assigned
- Dec 19, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | DS018466L | PA | Primary |
Addresses
Primary practice location
7601 Castor Ave
Suite 300
Philadelphia, PA 19152
Mailing address
7601 Castor Ave
Suite 300
Philadelphia, PA 19152
Phone (215) 722-4290
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150430000231 | PA | Order and Referring Only - Other (Physician) | 9537488291 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tom Fuji, DDS | Periodontics | 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.
-
- Periodontics
- Philadelphia, PA
- NPI 1396808556
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265595342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7601 CASTOR AVE",
"address_2": "SUITE 300",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19152",
"telephone_number": "215-722-4290",
"fax_number": "215-722-3734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7601 CASTOR AVE",
"address_2": "SUITE 300",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19152",
"telephone_number": "215-722-4290",
"fax_number": "215-722-3734"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIAN GRASSO",
"first_name": "JOSEPH",
"middle_name": "EDWARD",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "PA",
"license": "DS018466L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.