DR. STAS GRANDI D.M.D., M.S.D.
NPI 1548547425
Dentist - Orthodontics and Dentofacial Orthopedics in Sonora, CA

Active since November 07, 2011PECOS Enrolled
800 MORNING STAR DR STE A, SONORA, CA 95370(209) 532-5788 Get Directions Write a Review

NPPES record last updated: December 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 6, 2023, Apr 22, 2019 (2 updates tracked since 2019).

About Dr. Stas Grandi D.m.d., M.s.d. NPPES

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

DR. STAS GRANDI D.M.D., M.S.D. (NPI 1548547425) is an individual orthodontics and dentofacial orthopedics provider in Sonora, California, licensed in Colorado (DEN.00203854) and active in the NPI registry since November 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548547425
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameDR. STAS GRANDICredential: D.M.D., M.S.D.
Location Address800 MORNING STAR DR STE ASonora, CA 95370-9260
Mailing Address800 Morning Star Dr Ste ASonora, CA 95370-9260
Sole ProprietorNo
Enumeration DateNovember 7, 2011
Last NPPES UpdateDecember 6, 20232 updates tracked since enumeration
NPPES CertifiedDecember 6, 2023
NPI 1548547425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in CO · DEN.00203854
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
Also ListedDentistTaxonomy 122300000X · License 0401413384 (VA)
800 MORNING STAR DR STE A, Sonora, CA 95370

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)

Dr. Stas Grandi D.m.d., M.s.d. 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 95370 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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 3

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

Dentist (Orthodontics and Dentofacial Orthopedics)
800 MORNING STAR DR STE A
SONORA, CA 95370
Dentist (Orthodontics and Dentofacial Orthopedics)
800 MORNING STAR DR STE A
SONORA, CA 95370
Dentist (Orthodontics and Dentofacial Orthopedics)
800 MORNING STAR DR STE A
SONORA, CA 95370

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 Stas Grandi's NPI number?

The NPI number for Stas Grandi is 1548547425. It was assigned to this individual provider in the NPPES registry on November 7, 2011.

Where is Stas Grandi located?

Stas Grandi practices at 800 Morning Star Dr Ste A, Sonora, CA 95370. The listed phone number is (209) 532-5788.

What is Stas Grandi's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

Is Stas Grandi enrolled in Medicare?

Yes. Stas Grandi is registered in the Medicare PECOS enrollment system.

What insurance does Stas Grandi accept?

Health plans from Humana list Stas Grandi 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 Stas Grandi was last updated on December 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.