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DR. BAO-THY NGOC GRANT D.D.S.
NPI 1366612954
Dentist - Oral and Maxillofacial Surgery in Orange, CA

Active since March 10, 2008Opted out of Medicare · through May 10, 2027
1110 E CHAPMAN AVE, SUITE 100, ORANGE, CA 92866(714) 771-7677(714) 771-1518 Get Directions Write a Review

NPPES record last updated: March 10, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Bao-thy Ngoc Grant D.d.s. NPPES

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

DR. BAO-THY NGOC GRANT D.D.S. (NPI 1366612954) is an individual oral and maxillofacial surgery provider in Orange, California, licensed in California (52655) and active in the NPI registry since March 2008. She has opted out of Medicare through May 10, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1366612954
Entity TypeIndividualFemale
Primary Taxonomy1223S0112X
Provider Legal NameDR. BAO-THY NGOC GRANTCredential: D.D.S.
Location Address1110 E CHAPMAN AVE, SUITE 100Orange, CA 92866-2139
Mailing Address1110 E Chapman Ave, Suite 100Orange, CA 92866-2139 · (714) 771-7677 · Fax (714) 771-1518
Phone(714) 771-7677
Fax(714) 771-1518
Sole ProprietorYes
Enumeration DateMarch 10, 2008
✔ NPI 1366612954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in CA · 52655
Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

1110 E CHAPMAN AVE, Orange, CA 92866
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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. Bao-thy Ngoc Grant D.d.s. 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 May 10, 2013 through May 10, 2027.

Opt-Out Effective DateMay 10, 2013
Opt-Out In Effect ThroughMay 10, 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 92866 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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 13

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

SOCAL CENTER FOR CHANGE
Psychologist (Prescribing (Medical))
1110 E CHAPMAN AVE, SUITE 204
ORANGE, CA 92866
Orange County (714) 453-0688
MRS. KATELYN HENKA M.S., CCC-SLP
Speech-Language Pathologist
1110 E CHAPMAN AVE, SUITE 203
ORANGE, CA 92866
Orange County (714) 453-9323
DAVID B. CIMINSKI, O.D.
Optometrist
1110 E CHAPMAN AVE, SUITE#107
ORANGE, CA 92866
Orange County (714) 532-4900
DR. YUN SUK CHONG MD
Psychiatry & Neurology (Psychiatry)
1110 E CHAPMAN AVE, SUITE 203
ORANGE, CA 92866
Orange County (714) 453-0688
DR. DAVID B CIMINSKI O.D.
Optometrist
1110 E CHAPMAN AVE, SUITE 107
ORANGE, CA 92866
Orange County (714) 532-4900
DONNA ARMFIELD HUME L.C.S.W.
Social Worker (Clinical)
1110 E CHAPMAN AVE, SUITE 204
ORANGE, CA 92866
Orange County (714) 453-0688
LANGUAGE 2 LITERACY
Speech-Language Pathologist
1110 E CHAPMAN AVE, SUITE 203
ORANGE, CA 92866
Orange County (714) 623-1067
CRAIG J MILHOUSE MD INC
Internal Medicine
1110 E CHAPMAN AVE, SUITE 101
ORANGE, CA 92866
Orange County (714) 532-7272

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 Bao-thy Grant's NPI number?

The NPI number for Bao-thy Grant is 1366612954. It was assigned to this individual provider in the NPPES registry on March 10, 2008.

Where is Bao-thy Grant located?

Bao-thy Grant practices at 1110 E Chapman Ave Suite 100, Orange, CA 92866. The listed phone number is (714) 771-7677.

What is Bao-thy Grant's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Bao-thy Grant enrolled in Medicare?

No. Bao-thy Grant has opted out of Medicare through May 10, 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 Bao-thy Grant was last updated on March 10, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.