Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. ANDREW SCOTT GRIVAS III DDS
NPI 1255408928
Dentist - General Practice in Sacramento, CA

Q: What is Andrew Grivas's NPI number?

The NPI number for Andrew Grivas is 1255408928. It was assigned to this individual provider in the NPPES registry on November 29, 2006.

Q: What is Andrew Grivas's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: Is Andrew Grivas enrolled in Medicare?

No. Andrew Grivas has opted out of Medicare through August 8, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Andrew Grivas was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.

Active since November 29, 2006Opted out of Medicare · through Aug 8, 2027

2 SCRIPPS DR STE 102, SACRAMENTO, CA 95825(916) 929-9222(916) 929-5848 Get Directions Write a Review

NPPES record last updated: August 26, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Dr. Andrew Scott Grivas Iii Dds NPPES

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

DR. ANDREW SCOTT GRIVAS III DDS (NPI 1255408928) is an individual general practice provider in Sacramento, California, licensed in California (52726) and active in the NPI registry since November 2006. He has opted out of Medicare through August 8, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1255408928

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. ANDREW SCOTT GRIVAS IIICredential: DDS

Location Address2 SCRIPPS DR STE 102Sacramento, CA 95825-6207

Mailing Address2 Scripps Dr Ste 102Sacramento, CA 95825-6207 · (916) 929-9222 · Fax (916) 929-5848

Phone(916) 929-9222

Fax(916) 929-5848

Sole ProprietorYes

Enumeration DateNovember 29, 2006

Last NPPES UpdateAugust 26, 2026

NPPES CertifiedAugust 26, 2026

✔ NPI 1255408928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CA · 52726

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

2 SCRIPPS DR STE 102, Sacramento, CA 95825

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Andrew Scott Grivas Iii Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 8, 2017 through August 8, 2027.

Opt-Out Effective DateAugust 8, 2017

Opt-Out In Effect ThroughAugust 8, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95825 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

$92.61 typical visit price

range $60.44 – $180.85

Typical copayment $23.15 (range $15.11 – $45.21)

Most-billed visit code 99203

Established Patient

$75.03 typical visit price

range $19.88 – $148.15

Typical copayment $18.75 (range $4.97 – $37.03)

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.

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 Andrew Grivas's NPI number?

The NPI number for Andrew Grivas is 1255408928. It was assigned to this individual provider in the NPPES registry on November 29, 2006.

Where is Andrew Grivas located?

Andrew Grivas practices at 2 Scripps Dr Ste 102, Sacramento, CA 95825. The listed phone number is (916) 929-9222.

What is Andrew Grivas's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Andrew Grivas enrolled in Medicare?

No. Andrew Grivas has opted out of Medicare through August 8, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Andrew Grivas was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.