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TABBITHA GRANTHAM DDS
NPI 1649369919
Dentist - General Practice in Richmond, VA

Active since October 12, 2006PECOS Enrolled
1122 N 25TH ST, SUITE E, RICHMOND, VA 23223(804) 649-0240(804) 643-4733 Get Directions Write a Review

NPPES record last updated: September 19, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tabbitha Grantham Dds NPPES

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

TABBITHA GRANTHAM DDS (NPI 1649369919) is an individual general practice provider in Richmond, Virginia, licensed in Virginia (0401411441) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649369919
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameTABBITHA GRANTHAMCredential: DDS
Location Address1122 N 25TH ST, SUITE ERichmond, VA 23223-5254
Mailing Address3216 Edgewood AveRichmond, VA 23222-2508
Phone(804) 649-0240
Fax(804) 643-4733
Sole ProprietorYes
Enumeration DateOctober 12, 2006
Last NPPES UpdateSeptember 19, 2012
✔ NPI 1649369919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in VA · 0401411441
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.
1122 N 25TH ST, Richmond, VA 23223
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tabbitha Grantham Dds 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 23223 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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 11

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

KATELIN MIKUTA GORNTO FNP
Nurse Practitioner (Family)
1122 N 25TH ST
RICHMOND, VA 23223
Henrico County (804) 355-4348
FRANK S ROYAL MD PC
Family Medicine
1122 N 25TH ST, SUITE A
RICHMOND, VA 23223
Henrico County (804) 649-1277
KIERRIAH CALLIER DORTCH
Nurse Practitioner (Women's Health)
1122 N 25TH ST
RICHMOND, VA 23223
Henrico County (877) 757-8577
DR. PARMEET M.S. ATWAL NP
Nurse Practitioner (Family)
1122 N 25TH ST
RICHMOND, VA 23223
Henrico County (804) 508-6045
LAUREN PARKER WORLEY
Nurse Practitioner (Family)
1122 N 25TH ST
RICHMOND, VA 23223
Henrico County (804) 508-6045
ADDIE JAMETTA BRIGGS
Pediatrics
1122 N 25TH ST, STE B
RICHMOND, VA 23223
Henrico County (804) 864-9600
AFTON BRADLEY FNP-BC
Nurse Practitioner (Family)
1122 N 25TH ST
RICHMOND, VA 23223
Henrico County (804) 508-6045
MRS. KAREN JULIA STERNER NP-C
Nurse Practitioner (Family)
1122 N 25TH ST
RICHMOND, VA 23223
Henrico County (804) 355-4358

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 Tabbitha Grantham's NPI number?

The NPI number for Tabbitha Grantham is 1649369919. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Where is Tabbitha Grantham located?

Tabbitha Grantham practices at 1122 N 25th St Suite E, Richmond, VA 23223. The listed phone number is (804) 649-0240.

What is Tabbitha Grantham's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Tabbitha Grantham enrolled in Medicare?

Yes. Tabbitha Grantham is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tabbitha Grantham was last updated on September 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.