Edward Rezso Gracza, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D10309 Issued in MN

Practice address

223 S Main
Karlstad, MN 56732-0223

Phone

(218) 436-2946

Fax

(218) 436-2947

NPI assigned

Jan 19, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in MN

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gracza & Gracza Inc

  dba Karlstad Dental Clinic

  • Dentist
  • Karlstad, MN
  • NPI 1366595621
  NPD (past) Authorized official

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417000779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 223",
            "address_2": "223 S MAIN",
            "city": "KARLSTAD",
            "state": "MN",
            "postal_code": "567320223",
            "telephone_number": "218-436-2946",
            "fax_number": "218-436-2947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 S MAIN",
            "city": "KARLSTAD",
            "state": "MN",
            "postal_code": "567320223",
            "telephone_number": "218-436-2946",
            "fax_number": "218-436-2947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRACZA",
        "first_name": "EDWARD",
        "middle_name": "REZSO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D10309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gracza & Gracza Inc (Karlstad Dental Clinic)
• Jane Thomas Gracza, DDS
• Melanie Hartmann
• Ind School District #2358 (Tri-County School)
• Karlstad Family Chiropractic
• Karlstad Family Chiropractic P.a.

• Dentist in Karlstad, MN
• Providers in Karlstad, MN by specialty
• Dentist in Minnesota

• 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.
• 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.