Individual provider Active NPI

William A Grippo, D.D.S.

  • Periodontics
  • Napa, CA
National Provider Identifier
1295853984
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
D23104 Issued in CA
Practice address
3220 Beard Rd Ste C
Napa, CA 94558-3403
Phone
(707) 252-6077
Fax
(707) 252-7596
NPI assigned
Mar 27, 2007
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
Periodontics 1223P0300X D23104 CA Primary

Addresses

Primary practice location

3220 Beard Rd Ste C
Napa, CA 94558-3403

Mailing address

3220 Beard Rd Ste C
Napa, CA 94558-3403
Phone (707) 252-6077

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
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 27, 2016 through Jan 27, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
D23104CAMDPeriodontist
23104CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Sean K. Vreeburg, DDS, Ms, PC 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.

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295853984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 BEARD RD STE C",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945583403",
            "telephone_number": "707-252-6077",
            "fax_number": "707-252-7596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 BEARD RD STE C",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945583403",
            "telephone_number": "707-252-6077",
            "fax_number": "707-252-7596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIPPO",
        "first_name": "WILLIAM",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "D23104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Napa, CA

Sources for this page

Verify at the official NPI Registry.