Active NPI
Frank C Grammer, DDS, PHD
- Oral and Maxillofacial Surgery (Dentist)
- Fayetteville, AR
National Provider Identifier
1376691097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 1931
- Practice address
- 1708 E Joyce Blvd
Suite 2
Fayetteville, AR 72703-5252 - Phone
- (479) 582-3002
- Fax
- (479) 582-2840
- NPI assigned
- Jan 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 1931 | AR | Primary |
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | 1931 | AR |
Addresses
Primary practice location
1708 E Joyce Blvd
Suite 2
Fayetteville, AR 72703-5252
Mailing address
PO Box 4185
Fayetteville, AR 72702-4185
Phone (479) 717-1171
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 58229 | Other | AR | BCBS |
| 194717 | Other | UNITED CONCORDIA | |
| 234282400 | Other | AR | DEPT OF LABOR WORKERS COM |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oral & Facial Surgery Center PA | Oral and Maxillofacial Surgery | 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.
-
- Oral and Maxillofacial Surgery (Dentist)
- Fayetteville, AR
- NPI 1891744462
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359936000000",
"number": "1376691097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4185",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727024185",
"telephone_number": "479-717-1171",
"fax_number": "479-725-2395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1708 E JOYCE BLVD",
"address_2": "SUITE 2",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727035252",
"telephone_number": "479-582-3002",
"fax_number": "479-582-2840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAMMER",
"first_name": "FRANK",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "DDS, PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-08",
"last_updated": "2013-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "AR",
"license": "1931",
"primary": true
},
{
"code": "204E00000X",
"taxonomy_group": "",
"desc": "Oral & Maxillofacial Surgery",
"state": "AR",
"license": "1931",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "58229",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "194717",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF LABOR WORKERS COM",
"identifier": "234282400",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.