Active NPI
Sheldon M. Graves & Todd Smith Pediatric Dentistry
- Dentist
- Memphis, TN
National Provider Identifier
1073819413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS004417
- Legal business name
- SHELDON M. GRAVES & TODD SMITH PEDIATRIC DENTISTRY
- Practice address
- 4137 Kirby Pkwy
Suite 4
Memphis, TN 38115-6532 - Phone
- (901) 433-0701
- Fax
- (901) 433-0703
- NPI assigned
- Feb 2, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sheldon Maurice Graves, D.D.S.
- Title
- Owner
- Phone
- (901) 433-0701
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS004417 | TN | Primary |
Addresses
Primary practice location
4137 Kirby Pkwy
Suite 4
Memphis, TN 38115-6532
Mailing address
4137 Kirby Pkwy
Suite 4
Memphis, TN 38115-6532
Phone (901) 433-0701
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3225601 | Medicaid | TN |
National Provider Directory
National Provider Directory- Tax ID family
- Sheldon M Graves Todd Smith Pediatric Dentistry
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pediatric Dentistry
- Memphis, TN
- NPI 1457781379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296604800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1296604800000",
"number": "1073819413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4137 KIRBY PKWY",
"address_2": "SUITE 4",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381156532",
"telephone_number": "901-433-0701",
"fax_number": "901-433-0703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4137 KIRBY PKWY",
"address_2": "SUITE 4",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381156532",
"telephone_number": "901-433-0701",
"fax_number": "901-433-0703"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHELDON M. GRAVES & TODD SMITH PEDIATRIC DENTISTRY",
"organizational_subpart": "NO",
"enumeration_date": "2011-02-02",
"last_updated": "2011-02-02",
"status": "A",
"authorized_official_last_name": "GRAVES",
"authorized_official_first_name": "SHELDON",
"authorized_official_middle_name": "MAURICE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "901-433-0701",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "TN",
"license": "DS004417",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3225601",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
- Shelby Residential & Vocational Services, Inc. (Whitney)
- Shelby Residential & Vocational Services, Inc. (Old Egypt Central)
- Shelby Residential and Vocational Services
- Kevin Shelby, LPC-MHSP
- Melissa Shelby, PMHNP
- Sheldon M.Graves Pediatric Dentistry
- Abigail Shell, PHARMD
- Dan Huff Shell III, MD
- John Shelley
- Sheltering Tree Counseling & Consultation Services, PLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.