Active NPI
Alvaro E Gracia, DMD
- Prosthodontics
- Norton, MA
National Provider Identifier
1346392172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 18740
- Practice address
- 100 W Main St
Norton, MA 02766-2713 - Phone
- (508) 285-8301
- Fax
- (508) 285-6014
- NPI assigned
- Jan 18, 2007
- 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 |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 18740 | MA | Primary |
Addresses
Primary practice location
100 W Main St
Norton, MA 02766-2713
Mailing address
100 W Main St
P O Box 470
Norton, MA 02766-2713
Phone (508) 285-8301
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- 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 |
|---|---|---|---|---|
| I20150420000130 | MA | Order and Referring Only - Dentist | 8820316078 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18740 | MA | MD | Prosthodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gracia and Associates, P.C. | Prosthodontics | 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.
-
- Prosthodontics
- Norton, MA
- NPI 1831301944
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431043200000",
"number": "1346392172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 W MAIN ST",
"address_2": "P O BOX 470",
"city": "NORTON",
"state": "MA",
"postal_code": "027662713",
"telephone_number": "508-285-8301",
"fax_number": "508-285-6014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 W MAIN ST",
"city": "NORTON",
"state": "MA",
"postal_code": "027662713",
"telephone_number": "508-285-8301",
"fax_number": "508-285-6014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRACIA",
"first_name": "ALVARO",
"middle_name": "E",
"name_prefix": "Mr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-18",
"last_updated": "2015-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "MA",
"license": "18740",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2015; 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.