Federico Grande, D.D.S., M.D.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DN14859 Issued in FL

Practice address

650 SE Indian St Ste 2
Stuart, FL 34997-5565

Phone

(772) 510-5900

Fax

(772) 209-6231

NPI assigned

Aug 24, 2006

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: fgrande19926@jupitermedicalcenter.direct-ci.com

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.

• Federico Grande DDS, MD, PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Stuart, FL
  • NPI 1366166076
  NPD Authorized official
• Strauss & Strauss D.M.D.S, PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Stuart, FL
  • NPI 1083721955
  NPD (past)

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1396852257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 SE INDIAN ST STE 2",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349975565",
            "telephone_number": "772-510-5900",
            "fax_number": "772-209-6231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 SE INDIAN ST STE 2",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349975565",
            "telephone_number": "772-510-5900",
            "fax_number": "772-209-6231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANDE",
        "first_name": "FEDERICO",
        "credential": "D.D.S., M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN14859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drgrande@grandeoralspecialties.com",
            "affiliation": "N",
            "endpointDescription": "private email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "650 SE Indian St Ste 2",
            "city": "Stuart",
            "state": "FL",
            "country_code": "US",
            "postal_code": "349975565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Stephanie Graham
• Tilmond Ian Graham
• Zamari Graham
• Rebecca Graiber
• Stephanie Granados Vasquez
• Aneita Nicole Grant, PMHNP-BC
• Blair Sarah Grant, LCSW
• Jacqueline Grant
• Janine Grant
• Kelly Grant, BCBA

• Oral and Maxillofacial Surgery (Dentist) in Stuart, FL
• Providers in Stuart, FL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; 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.

Verify at the official NPI Registry.