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

Active since November 29, 2006Opted out of Medicare · through Aug 8, 2027
2 SCRIPPS DR, STE 202, SACRAMENTO, CA 95825(916) 929-9222(916) 929-5848 Get Directions Write a Review

NPPES record last updated: June 1, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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 202Sacramento, CA 95825-6207
Mailing Address2 Scripps Dr, Ste 202Sacramento, CA 95825 · (916) 929-9222 · Fax (916) 929-5848
Phone(916) 929-9222
Fax(916) 929-5848
Sole ProprietorYes
Enumeration DateNovember 29, 2006
Last NPPES UpdateJune 1, 2016
✔ 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, 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.

Other Providers at the Same Location NPPES 20

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

DR. CYNTHIA A STUART DDS
Dentist (General Practice)
2 SCRIPPS DR, STE 101
SACRAMENTO, CA 95825
Sacramento County (916) 929-0999
DR. DANIEL PATRICK JONES D.D.S.
Dentist (General Practice)
2 SCRIPPS DR, SUITE 201
SACRAMENTO, CA 95825
Sacramento County (916) 929-6363
ROBERT MALLEY MD
Radiology (Vascular & Interventional Radiology)
2 SCRIPPS DR, STE 110
SACRAMENTO, CA 95825
Sacramento County (916) 929-3393
DR. JONATHAN CASIMIR SZYMANOWSKI DMD,MMSC
Dentist (Periodontics)
2 SCRIPPS DR, #303
SACRAMENTO, CA 95825
Sacramento County (916) 929-5052
DR. DYLAN JAMES WITT M.D.
Radiology (Diagnostic Radiology)
2 SCRIPPS DR, STE 110
SACRAMENTO, CA 95825
Sacramento County (916) 929-3393
DR. JOHN F DELAVEGA M.D.
Radiology (Diagnostic Radiology)
2 SCRIPPS DR, STE 110
SACRAMENTO, CA 95825
Sacramento County (916) 929-3393
ABULHASAN ALMUSAWI DENTAL PARTNERSHIP
Dentist (General Practice)
2 SCRIPPS DR, SUITE 208
SACRAMENTO, CA 95825
Sacramento County (916) 920-3572
DR. JANINE MA GOLDING D.D.S.
Dentist (General Practice)
2 SCRIPPS DR, SUITE 308
SACRAMENTO, CA 95825
Sacramento County (916) 929-7994

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 202, 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 June 1, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.