ANN MARIE GRADY D.D.S.
NPI 1306920970
Oral & Maxillofacial Surgery in Fresno, CA

Active since October 24, 2006PECOS Enrolled
1360 E SPRUCE AVE STE 103, FRESNO, CA 93720(559) 860-2500(559) 860-2502 Get Directions Write a Review

NPPES record last updated: June 14, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 14, 2023, Mar 7, 2023 (2 updates tracked since 2023).

About Ann Marie Grady D.d.s. NPPES

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

ANN MARIE GRADY D.D.S. (NPI 1306920970) is an individual oral & maxillofacial surgery provider in Fresno, California, licensed in California (53741) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306920970
Entity TypeIndividualFemale
Primary Taxonomy204E00000X
Provider Legal NameANN MARIE GRADYCredential: D.D.S.
Location Address1360 E SPRUCE AVE STE 103Fresno, CA 93720-3378
Mailing Address1360 E Spruce Ave Ste 103Fresno, CA 93720-3378 · (559) 860-2500 · Fax (559) 860-2502
Fax(559) 860-2502
Sole ProprietorYes
Enumeration DateOctober 24, 2006
Last NPPES UpdateJune 14, 20232 updates tracked since enumeration
NPPES CertifiedJune 14, 2023
NPI 1306920970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License Licensed in CA · 53741
Definition

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

1360 E SPRUCE AVE STE 103, Fresno, CA 93720

Other Identifiers 1

Other53741CA · D.d.s.

Accepted 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)

Ann Marie Grady 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.

Other Providers at the Same Location NPPES

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

Dentist (Oral and Maxillofacial Surgery)
1360 E SPRUCE AVE STE 103
FRESNO, CA 93720

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 Ann Marie Grady's NPI number?

The NPI number for Ann Marie Grady is 1306920970. It was assigned to this individual provider in the NPPES registry on October 24, 2006.

Where is Ann Marie Grady located?

Ann Marie Grady practices at 1360 E Spruce Ave Ste 103, Fresno, CA 93720. The listed phone number is (559) 860-2500.

What is Ann Marie Grady's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Ann Marie Grady enrolled in Medicare?

Yes. Ann Marie Grady is registered in the Medicare PECOS enrollment system.

What insurance does Ann Marie Grady accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Ann Marie Grady 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 Ann Marie Grady was last updated on June 14, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.