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

Q: What is Joshua De Graffenried's NPI number?

The NPI number for Joshua De Graffenried is 1104224930. It was assigned to this individual provider in the NPPES registry on December 10, 2014.

Q: What is Joshua De Graffenried's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

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: August 09, 2026.

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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

Phone(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

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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.

LARRY WAYNE MURPH DDS

Dentist (General Practice)

3201 PALUXY DR
TYLER, TX 75701

Smith County (903) 593-5161

PALUXY DENTAL GROUP PC

Dentist (General Practice)

3201 PALUXY DR
TYLER, TX 75701

Smith County (903) 593-5161

TYLER CENTER FOR DENTAL HEALTH, PLLC

Clinic/Center (Dental)

3201 PALUXY DR
TYLER, TX 75701

Smith County (903) 593-5161

DR. DANIELA GISSEL CERRILLO DMD

Dentist (General Practice)

3201 PALUXY DR
TYLER, TX 75701

Smith County (903) 593-5161

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Joshua De Graffenried's NPI number?

The NPI number for Joshua De Graffenried is 1104224930. It was assigned to this individual provider in the NPPES registry on December 10, 2014.

Where is Joshua De Graffenried located?

Joshua De Graffenried practices at 3201 Paluxy Dr, Tyler, TX 75701. The listed phone number is (903) 593-5161.

What is Joshua De Graffenried's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Joshua De Graffenried enrolled in Medicare?

Yes. Joshua De Graffenried is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Joshua De Graffenried was last updated on April 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.