LINDSAY GRADY D.D.S.
NPI 1639362643
Dentist in Fair Oaks, CA

Q: What is Lindsay Grady's NPI number?

The NPI number for Lindsay Grady is 1639362643. It was assigned to this individual provider in the NPPES registry on August 22, 2007.

Q: What is Lindsay Grady's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: Is Lindsay Grady enrolled in Medicare?

No. Lindsay Grady has opted out of Medicare through June 16, 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 Lindsay Grady was last updated on August 22, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since August 22, 2007Opted out of Medicare · through Jun 16, 2027

11121 FAIR OAKS BLVD, FAIR OAKS, CA 95628(916) 961-6810(916) 961-6445 Get Directions Write a Review

NPPES record last updated: August 22, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Lindsay Grady D.d.s. NPPES

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

LINDSAY GRADY D.D.S. (NPI 1639362643) is an individual dentist in Fair Oaks, California, licensed in California (31466) and active in the NPI registry since August 2007. He has opted out of Medicare through June 16, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1639362643

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameLINDSAY GRADYCredential: D.D.S.

Location Address11121 FAIR OAKS BLVDFair Oaks, CA 95628-5136

Mailing Address11121 Fair Oaks BlvdFair Oaks, CA 95628-5136 · (916) 961-6810 · Fax (916) 961-6445

Phone(916) 961-6810

Fax(916) 961-6445

Sole ProprietorYes

Enumeration DateAugust 22, 2007

✔ NPI 1639362643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · 31466

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

11121 FAIR OAKS BLVD, Fair Oaks, CA 95628

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Lindsay Grady 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 June 16, 2015 through June 16, 2027.

Opt-Out Effective DateJune 16, 2015

Opt-Out In Effect ThroughJune 16, 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 95628 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 6

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

DENTAL EXCELLENCE INC

Dentist