Barry Richard Degraff, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN009420 Issued in FL

Practice address

315 E New York Ave
Deland, FL 32724-5509

Phone

(386) 734-2320

Fax

(286) 734-8955

NPI assigned

Feb 2, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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 Nov 20, 2015 through Nov 20, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Barry R. Degraff, D.D.S.

  • General Practice Dentistry
  • Deland, FL
  • NPI 1760871131
  NPD (past)

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

{
    "created_epoch": "1233532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233532800000",
    "number": "1356589006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 E NEW YORK AVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327245509",
            "telephone_number": "386-734-2320",
            "fax_number": "286-734-8955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 E NEW YORK AVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327245509",
            "telephone_number": "386-734-2320",
            "fax_number": "286-734-8955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGRAFF",
        "first_name": "BARRY",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-02",
        "last_updated": "2009-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN009420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph B De Peyster, M.D.
• Craig Steven Dean, D.O.
• Deep Sleep Dental Solutions, LLC
• Deerfoot Manor Alf
• Elendea Rose Degaetano, RMFTI, RMHCI
• Adam Joseph Deimling, MED, ATC, LAT
• Pamela L Deimund, LMT
• Kimberlee C Del Campo
• Deland Anesthesiology Group Inc
• Deland Athens Opco LLC

• General Practice Dentistry in Deland, FL
• Providers in Deland, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2009; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.