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DR. NATHAN ALPHONSO GRADDY D.D.S
NPI 1225318025
Dentist in Port Richey, FL

Active since August 24, 2011PECOS Enrolled
9721 US HIGHWAY 19, PORT RICHEY, FL 34668(727) 846-7555 Get Directions Write a Review

NPPES record last updated: December 27, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 27, 2019, Dec 12, 2018 (2 updates tracked since 2018).

About Dr. Nathan Alphonso Graddy D.d.s NPPES

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

DR. NATHAN ALPHONSO GRADDY D.D.S (NPI 1225318025) is an individual dentist in Port Richey, Florida, licensed in Florida (DN4964) and active in the NPI registry since August 2011. He is enrolled in Medicare PECOS and maintains a secondary practice location in Tampa.

NPPES Registry Identity

NPI1225318025
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. NATHAN ALPHONSO GRADDYCredential: D.D.S
Location Address9721 US HIGHWAY 19Port Richey, FL 34668-7503
Mailing AddressPo Box 82969Tampa, FL 33682-2969 · (813) 866-0930 · Fax (813) 405-3722
Phone(727) 846-7555
Sole ProprietorYes
Enumeration DateAugust 24, 2011
Last NPPES UpdateDecember 27, 20192 updates tracked since enumeration
✔ NPI 1225318025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in FL · DN4964
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.
9721 US HIGHWAY 19, Port Richey, FL 34668
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Secondary Practice Location 1

Location 12727 W Dr Martin Luther King Jr Blvd, Suite 120Tampa, FL 33607-6383 · Phone (813) 221-0010 · Fax (813) 221-0111

Other Identifiers 1

Medicaid072704100FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield and more.Insurance ›

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. Nathan Alphonso Graddy 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 34668 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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 2

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

DR. RICHARD PATERNOSTER DDS
Dentist
9721 US HIGHWAY 19
PORT RICHEY, FL 34668
Pasco County (727) 846-7555
MARIANA SOLIMAN BOLES D.D.S
Dentist
9721 US HIGHWAY 19
PORT RICHEY, FL 34668
Pasco County (551) 226-0844

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 Nathan Graddy's NPI number?

The NPI number for Nathan Graddy is 1225318025. It was assigned to this individual provider in the NPPES registry on August 24, 2011.

Where is Nathan Graddy located?

Nathan Graddy practices at 9721 Us Highway 19, Port Richey, FL 34668. The listed phone number is (727) 846-7555.

What is Nathan Graddy's specialty?

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

Is Nathan Graddy enrolled in Medicare?

Yes. Nathan Graddy is registered in the Medicare PECOS enrollment system.

What insurance does Nathan Graddy accept?

Health plans from Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield, BEST Life and Blue Cross and Blue Shield of Montana and 11 other insurers list Nathan Graddy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nathan Graddy was last updated on December 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.