Jose Joaquin Giraud, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

1002390 Issued in WI

Practice address

130 Carr Rd
Plymouth, WI 53073-9500

Phone

(920) 893-8458

Fax

(920) 893-8458

NPI assigned

Apr 30, 2019

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1556582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597795200000",
    "number": "1902460439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "734 N 7TH ST APT 218",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530814013",
            "telephone_number": "920-457-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 CARR RD",
            "city": "PLYMOUTH",
            "state": "WI",
            "postal_code": "530739500",
            "telephone_number": "920-893-8458",
            "fax_number": "920-893-8458"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "734 N 7th St Apt 218",
            "address_purpose": "LOCATION",
            "city": "Sheboygan",
            "state": "WI",
            "postal_code": "530814013",
            "country_code": "US",
            "telephone_number": "920-457-1717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIRAUD",
        "first_name": "JOSE",
        "middle_name": "JOAQUIN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-30",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "1002390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Maria Gavin, MD
• Jatonn Pearcina Gee, MS
• Erin Gehrke, PHARMD
• Randal Gereau, LPN
• Melissa Giebel, CWP
• Corrie Goodine, DPT
• Bethany L Graesslin, PT
• Thomas Gregory Graf
• Lisa Ann Gross, COTA
• Michelle R. Haese, CAPSW, CSAC

• Dentist in Plymouth, WI
• Providers in Plymouth, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; 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.