Allan Grayson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30664 Issued in NY

Practice address

350 Fifth Ave
Suite 5222
New York, NY 10118

Phone

(212) 279-1174

Fax

(212) 594-8936

NPI assigned

Apr 4, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Empire State Dental Group PC

  • General Practice Dentistry
  • New York City, NY
  • NPI 1427183516
  NPD (past)

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598887440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 EAST 30 ST",
            "address_2": "#16C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10016",
            "telephone_number": "212-279-1174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 FIFTH AVE",
            "address_2": "SUITE 5222",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10118",
            "telephone_number": "212-279-1174",
            "fax_number": "212-594-8936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAYSON",
        "first_name": "ALLAN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "30664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Graybeal, MD
• Jennifer J Graybill, LCSW
• Scott Graybow, LCSW
• Alexandra Stowe Graylin-Frey, PSYCHOANALYST
• Graymatters Medical Practice P.C.
• Barry H Grayson, DDS
• Henry Grayson, PH.D.
• Kammi Grayson, DO
• Martha S Grayson, MD
• Stephanie Grayson, LCSW

• General Practice Dentistry in New York, NY
• Providers in New York, NY by specialty
• General Practice Dentistry in New York

• 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.