Active NPI
Lance Alan McGraw, D.D.S.
- General Practice Dentistry
- Beebe, AR
National Provider Identifier
1013930163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 3015
- Practice address
- 1010 W Center St
Beebe, AR 72012-3165 - Phone
- (501) 882-3835
- Fax
- (501) 882-0535
- NPI assigned
- Jul 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3015 | AR | Primary |
Addresses
Primary practice location
1010 W Center St
Beebe, AR 72012-3165
Mailing address
1010 W Center St
Beebe, AR 72012-3165
Phone (501) 882-3835
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 811725 | Other | AR | UNITED CONCORDIA |
| 58608 | Other | AR | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141119000295 | AR | Order and Referring Only - Maxillofacial Surgery | 6800018227 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3015 | AR | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lance a. McGraw, D.D.S., PLLC | General Practice | Current | Accepting new patients |
| LD McGraw, DDS, PLLC | Past | Accepting new patients |
Locations
1010 W Center St
Beebe, AR 72012
Phone (501) 882-3540
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Beebe, AR
- NPI 1659602043
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615766400000",
"number": "1013930163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 W CENTER ST",
"city": "BEEBE",
"state": "AR",
"postal_code": "720123165",
"telephone_number": "501-882-3835",
"fax_number": "501-882-0535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 W CENTER ST",
"city": "BEEBE",
"state": "AR",
"postal_code": "720123165",
"telephone_number": "501-882-3835",
"fax_number": "501-882-0535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGRAW",
"first_name": "LANCE",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2021-03-15",
"certification_date": "2021-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AR",
"license": "3015",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "811725",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "58608",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beebe, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.