Individual provider Active NPI

Dimitri Grammas, D.D.S

  • General Practice Dentistry
  • Orange, CA
National Provider Identifier
1376569772
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
37832 Issued in CA
Practice address
149 E Lincoln Ave
Orange, CA 92865-1136
Phone
(714) 283-9188
Fax
(714) 283-9228
NPI assigned
Jul 15, 2006
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
General Practice Dentistry 1223G0001X 37832 CA Primary

Addresses

Primary practice location

149 E Lincoln Ave
Orange, CA 92865-1136

Mailing address

149 E Lincoln Ave
Orange, CA 92865-1136
Phone (714) 283-9188

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376569772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 E LINCOLN AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928651136",
            "telephone_number": "714-283-9188",
            "fax_number": "714-283-9228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 E LINCOLN AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928651136",
            "telephone_number": "714-283-9188",
            "fax_number": "714-283-9228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAMMAS",
        "first_name": "DIMITRI",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "37832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.