ANN MARIE GRADY (NPI# 1306920970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306920970 |
Entity Type | Individual |
Full Name | ANN MARIE GRADY |
Credential | D.D.S. |
Practice Address |
1313 E Herndon Ave 104 Fresno CA 93720-3306 |
Practice Telephone | 5594357993 |
Practice Fax Number | 5594357935 |
Mailing Telephone | 5594357993 |
Mailing Fax Number | 5594357935 |
Enumeration Date | 2006-10-24 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 204E00000X | Oral & Maxillofacial Surgery | 53741 | CA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | D.D.S. | 53741 | 01 |
CA | DEA CERTIFICATE | BG7743633 | 01 |
Street Address |
1313 E HERNDON AVE 104 |
City | FRESNO |
State | CA |
Zip Code | 93720-3306 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366447658 | Vickie A Walton | Specialist | 1313 E Herndon Ave, Ste 205, Fresno, CA 93720-3306 | 2005-06-14 |
1558980003 | Rameet Singh Sidhu | Student in an Organized Health Care Education/Training Program | 1313 E Herndon Ave, Fresno, CA 93720-3306 | 2020-04-14 |
1356960108 | Paul A. Kohanteb | Student in an Organized Health Care Education/Training Program | 1313 E Herndon Ave, Fresno, CA 93720-3306 | 2020-04-12 |
1942829791 | Jasdave S. Maan | Student in an Organized Health Care Education/Training Program | 1313 E Herndon Ave, Fresno, CA 93720-3306 | 2020-04-12 |
1417576208 | Derrick Martin | Student in an Organized Health Care Education/Training Program | 1313 E Herndon Ave, Fresno, CA 93720-3306 | 2020-04-11 |
1639798507 | Anand Neil Shivaprasad | Student in an Organized Health Care Education/Training Program | 1313 E Herndon Ave, Fresno, CA 93720-3306 | 2020-04-10 |
1568081750 | Yudhveer Brar | Student in an Organized Health Care Education/Training Program | 1313 E Herndon Ave, Fresno, CA 93720-3306 | 2020-04-09 |
1023637188 | Brian Nan Peng | Student in an Organized Health Care Education/Training Program | 1313 E Herndon Ave, St 105, Fresno, CA 93720-3306 | 2020-04-09 |
1699394627 | Harjot Kaur Bath | Student in an Organized Health Care Education/Training Program | 1313 E Herndon Ave, Fresno, CA 93720-3306 | 2020-04-09 |
1154940245 | Harkanwal Kaur | Student in an Organized Health Care Education/Training Program | 1313 E Herndon Ave, Fresno, CA 93720-3306 | 2020-04-09 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366061129 | Ariel Lok Yen Leung | Student in an Organized Health Care Education/Training Program | 1313 East Herndon Ave, St 105, Fresno, CA 93720 | 2020-04-13 |
1457992513 | Brittany Nichole Willis | Audiologist | 1351 E Spruce Ave Ste 130, Fresno, CA 93720 | 2019-09-30 |
1013567668 | Taylor Courteney Cox | Physical Therapist | 7080 N. Maple Ave #101, Fresno, CA 93720 | 2019-09-16 |
1457909152 | Lillian M Augilera | Technician | 8419 N Dearing Ave, Fresno, CA 93720 | 2019-08-27 |
1215581764 | Sterling Hospitalist Medical Group, Inc. | Clinic/Center | 1191 E. Herndon Avenue Suite 103, Fresno, CA 93720 | 2019-08-01 |
1376006429 | Nancy Minh Thao Dang | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105, Fresno, CA 93720 | 2019-04-06 |
1366904716 | Shankar Nair | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105., Fresno, CA 93720 | 2019-04-04 |
1861979544 | Powell Pediatric Dentistry Chestnut Partnership | Dentist | 7005 N. Chestnut Ave Ste 101, Fresno, CA 93720 | 2018-07-25 |
1669967311 | Sierra Pacific Orthopaedic Center Medical Group Inc | Specialist | 1270 E. Spruce, Fresno, CA 93720 | 2018-06-26 |
1689168700 | Vinita Vishnoi | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105, Fresno, CA 93720 | 2018-06-21 |
Find all providers in zip 93720 |
Taxonomy Code | 204E00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Oral & Maxillofacial Surgery |
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922219237 | George M Zakhary | Oral & Maxillofacial Surgery | 215 N Fresno St, Suite 490, Fresno, CA 93701-2124 | 2007-05-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457983025 | Olena Norris Dds Dental Corporation | Oral & Maxillofacial Surgery | 5060 California Ave Ste 202, Bakersfield, CA 93309-7087 | 2020-02-11 |
1306498829 | Henry Mayo Newhall Clinics, LLC | Oral & Maxillofacial Surgery | 25751 Mcbean Pkwy Ste 220, Valencia, CA 91355-3701 | 2019-07-15 |
1396211926 | Fremont Oral & Maxillofacial Surgery | Oral & Maxillofacial Surgery | 39210 State St Ste 115, Fremont, CA 94538-1456 | 2018-10-22 |
1013495985 | Ned L. Nix, Dds, Inc | Oral & Maxillofacial Surgery | 704 Blossom Hill Rd Ste 102, San Jose, CA 95123-5403 | 2018-08-02 |
1811475759 | University of California Sfgh Medical Group | Oral & Maxillofacial Surgery | 1001 Potrero Avenue, Bldg 5, Room 1n1, San Francisco, CA 94110-3518 | 2018-08-02 |
1235649690 | Mac Dental Corporation | Oral & Maxillofacial Surgery | 9855 Erma Road, #110, Scripps Periodontics, San Diego, CA 92131 | 2017-10-11 |
1710354162 | Michael J. Belton Dds,md Inc. | Oral & Maxillofacial Surgery | 2045 Compton Ave Ste 102, Corona, CA 92881-7293 | 2015-09-01 |
1508263740 | F.a.c.e. Surgical Center of The Desert | Oral & Maxillofacial Surgery | 1900 E Tahquitz Canyon Way Ste C4, Palm Springs, CA 92262-7062 | 2014-12-03 |
1407114499 | Niloofar Deyhim | Oral & Maxillofacial Surgery | 853 Middlefield Rd Ste 1, Palo Alto, CA 94301-2900 | 2012-04-26 |
1437479144 | Brian Robert Carr | Oral & Maxillofacial Surgery | 521 Parnassus Ave # C-522, San Francisco, CA 94143-0440 | 2010-06-03 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.