Active NPI
Kristine Achille Grazioso, DMD
- Pediatric Dentistry
- Cohasset, MA
National Provider Identifier
1982741955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 18935
- Practice address
- 223 Chief Justice Cushing Hwy
Suite 102
Cohasset, MA 02025-1391 - Phone
- (781) 383-0003
- Fax
- (781) 383-0032
- NPI assigned
- Jan 31, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 18935 | MA | Primary |
Addresses
Primary practice location
223 Chief Justice Cushing Hwy
Suite 102
Cohasset, MA 02025-1391
Mailing address
66 Emery Rd
Marshfield, MA 02050-4415
Phone (781) 834-8635
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18935 | MA | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1982741955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66 EMERY RD",
"city": "MARSHFIELD",
"state": "MA",
"postal_code": "020504415",
"telephone_number": "781-834-8635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "223 CHIEF JUSTICE CUSHING HWY",
"address_2": "SUITE 102",
"city": "COHASSET",
"state": "MA",
"postal_code": "020251391",
"telephone_number": "781-383-0003",
"fax_number": "781-383-0032"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAZIOSO",
"first_name": "KRISTINE",
"middle_name": "ACHILLE",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "MA",
"license": "18935",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cohasset, MA
Sources for this page
- 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.