DR. JOSHUA AUSTIN DE GRAFFENRIED D.D.S
NPI 1104224930
Dentist in Tyler, TX

Active since December 10, 2014PECOS Enrolled
3201 PALUXY DR, TYLER, TX 75701(903) 593-5161 Get Directions Write a Review

NPPES record last updated: April 14, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Joshua Austin De Graffenried D.d.s NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOSHUA AUSTIN DE GRAFFENRIED D.D.S (NPI 1104224930) is an individual dentist in Tyler, Texas, licensed in Texas (27997) and active in the NPI registry since December 2014. He is enrolled in Medicare PECOS and maintains a secondary practice location in Kilgore.

NPPES Registry Identity

NPI1104224930
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. JOSHUA AUSTIN DE GRAFFENRIEDCredential: D.D.S
Location Address3201 PALUXY DRTyler, TX 75701-8349
Mailing Address3201 Paluxy DrTyler, TX 75701-8349 · (903) 593-5161
Sole ProprietorNo
Enumeration DateDecember 10, 2014
Last NPPES UpdateApril 14, 2021
NPPES CertifiedApril 14, 2021
NPI 1104224930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in TX · 27997
Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

3201 PALUXY DR, Tyler, TX 75701

Secondary Practice Location 1

Location 1238 Lawrence StKilgore, TX 75662-2610 · Phone (903) 984-0614

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Joshua Austin De Graffenried D.d.s is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
3201 PALUXY DR
TYLER, TX 75701
Dentist (General Practice)
3201 PALUXY DR
TYLER, TX 75701
Clinic/Center (Dental)
3201 PALUXY DR
TYLER, TX 75701
Dentist (General Practice)
3201 PALUXY DR
TYLER, TX 75701

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104224930, enumerated as an "individual" on December 10, 2014.

The provider is located at 3201 PALUXY DR TYLER, TX 75701 and the phone number is (903) 593-5161.

Dentist with taxonomy code 122300000X.