NPIMap

Organization Active NPI

Brad W. Graff D.M.D. PA

  • General Practice Dentistry
  • Fort Lauderdale, FL
National Provider Identifier
1053534941
Registry record updated Jul 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN11270 Issued in FL
Legal business name
BRAD W. GRAFF D.M.D. PA
Practice address
3107 Stirling Rd
Suite # 108
Fort Lauderdale, FL 33312-6565
Phone
(954) 963-3706
Fax
(954) 963-1223
NPI assigned
Apr 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Brad William Graff, D.M.D.NPI 1992099550
Title
President
Phone
(954) 963-3706

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DN11270 FL Primary

Addresses

Primary practice location

3107 Stirling Rd
Suite # 108
Fort Lauderdale, FL 33312-6565

Mailing address

3107 Stirling Rd
Suite # 108
Fort Lauderdale, FL 33312-6565
Phone (954) 963-3706

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248220800000",
    "number": "1053534941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3107 STIRLING RD",
            "address_2": "SUITE # 108",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333126565",
            "telephone_number": "954-963-3706",
            "fax_number": "954-963-1223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3107 STIRLING RD",
            "address_2": "SUITE # 108",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333126565",
            "telephone_number": "954-963-3706",
            "fax_number": "954-963-1223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAD W. GRAFF D.M.D. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2009-07-22",
        "status": "A",
        "authorized_official_last_name": "GRAFF",
        "authorized_official_first_name": "BRAD",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-963-3706",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN11270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.