Ann Marie Grady, D.D.S.

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

53741 Issued in CA

Practice address

1360 E Spruce Ave Ste 103
Fresno, CA 93720-3378

Phone

(559) 860-2500

Fax

(559) 860-2502

NPI assigned

Oct 24, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Andrew R. Rahn, DDS, PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Fresno, CA
  • NPI 1023505237
  NPD (past)
• Michigan Oral and Maxillofacial Surgeons, P.C.

  • Oral and Maxillofacial Surgery (Dentist)
  • Ann Arbor, MI
  • NPI 1528008042
  NPD (past)

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1306920970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 E SPRUCE AVE STE 103",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203378",
            "telephone_number": "559-860-2500",
            "fax_number": "559-860-2502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 E SPRUCE AVE STE 103",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203378",
            "telephone_number": "559-860-2500",
            "fax_number": "559-860-2502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRADY",
        "first_name": "ANN MARIE",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "CA",
            "license": "53741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "D.D.S.",
            "identifier": "53741",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mariah C Grace, D.O
• Karrie Jane Gracia
• Karina Graciano
• Emily Gracyk
• Priscilla Diana Gradilla
• Winston Grady
• Hope Graef
• Yan Grafman
• Elita Gragoossians
• Brianna Jazelle Graham

• Oral & Maxillofacial Surgery (D.M.D.) in Fresno, CA
• Providers in Fresno, CA by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.

Verify at the official NPI Registry.