Jeffrey C Grabiel, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

012169 Issued in MI

Practice address

2425 E Lincoln St Ste 110
Birmingham, MI 48009-7122

Phone

(248) 644-3131

Fax

(248) 282-5060

NPI assigned

Feb 7, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

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.

• Legacy Dental Group, PC

  • Dental Clinic/Center
  • Birmingham, MI
  • NPI 1477894442
  NPD (past) Authorized official

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614816000000",
    "number": "1750353264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 E LINCOLN ST STE 110",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480097122",
            "telephone_number": "248-644-3131",
            "fax_number": "248-282-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 E LINCOLN ST STE 110",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480097122",
            "telephone_number": "248-644-3131",
            "fax_number": "248-282-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRABIEL",
        "first_name": "JEFFREY",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "12169",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "012169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth Goldman, M.D., M.P.H.
• Jose A Gonzalez, MD
• Erin M. Good, N.P.
• Barbara Tobias Gordon, MSW
• James Michael Gosse, PH.D.
• Steven M Grabiel, D.D.S.
• Avery Grant, CTRS
• Lyle 'Scott' Grant, M.D.
• Camille Janicki Greenwald, PHD
• Jason Eric Gregory, MT

• General Practice Dentistry in Birmingham, MI
• Providers in Birmingham, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; 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.