Individual provider Active NPI

Joseph Daniel Giangrasso Jr., DMD

  • Dentist
  • Wayland, MA
National Provider Identifier
1366548794
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
19829 Issued in MA
Practice address
311 Boston Post Rd
Wayland, MA 01778-1802
Phone
(508) 358-7100
Fax
(508) 358-3408
NPI assigned
Sep 15, 2006
Sex
Male
Sole proprietor
No

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
Dentist 122300000X 19829 MA Primary

Addresses

Primary practice location

311 Boston Post Rd
Wayland, MA 01778-1802

Mailing address

311 Boston Post Rd
Wayland, MA 01778-1802
Phone (508) 358-7100

Other names 1

  • Dr. Joseph Daniel Giangrasso Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160413000735 MA Order and Referring Only - DentistPractitioner - Dentist 3971801655

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19829MAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Giangrasso Dental Assoc LLP 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": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366548794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 BOSTON POST RD",
            "city": "WAYLAND",
            "state": "MA",
            "postal_code": "017781802",
            "telephone_number": "508-358-7100",
            "fax_number": "508-358-3408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 BOSTON POST RD",
            "city": "WAYLAND",
            "state": "MA",
            "postal_code": "017781802",
            "telephone_number": "508-358-7100",
            "fax_number": "508-358-3408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIANGRASSO",
        "first_name": "JOSEPH",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "19829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSEPH",
            "last_name": "GIANGRASSO",
            "middle_name": "DANIEL",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Wayland, MA

Sources for this page

Verify at the official NPI Registry.