Organization Active NPI

Cynthia Graves Dental Group PLLC

  • Dental Clinic/Center
  • Austin, TX
National Provider Identifier
1083186126
Registry record updated Dec 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
CYNTHIA GRAVES DENTAL GROUP PLLC
Practice address
10418 Lake Creek Pkwy
Austin, TX 78750-1226
Phone
(512) 258-8001
Fax
(512) 258-4106
NPI assigned
Dec 31, 2018
Organization subpart
Yes
Parent organization
CYNTHIA L GRAVES DDS LLP., LTDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 31, 2018

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

Authorized official

Name
Dr. Cynthia L Graves, DDS
Title
President
Phone
(512) 258-8001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

10418 Lake Creek Pkwy
Austin, TX 78750-1226

Mailing address

10418 Lake Creek Pkwy
Austin, TX 78750-1226
Phone (512) 258-8001

Other names 1

  • Cynthia L Graves, DDS Ltd LLP Former legal business name

National Provider Directory

National Provider Directory
Part of
Cynthia L Graves DDS LLP LTD

Locations

10418 Lake Creek Pkwy
Austin, TX 78750
Phone (512) 258-2233

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1546214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546214400000",
    "number": "1083186126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10418 LAKE CREEK PKWY",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787501226",
            "telephone_number": "512-258-8001",
            "fax_number": "512-258-4106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10418 LAKE CREEK PKWY",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787501226",
            "telephone_number": "512-258-8001",
            "fax_number": "512-258-4106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYNTHIA GRAVES DENTAL GROUP PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CYNTHIA L GRAVES DDS LLP., LTD",
        "enumeration_date": "2018-12-31",
        "last_updated": "2018-12-31",
        "status": "A",
        "authorized_official_last_name": "GRAVES",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-258-8001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cynthia L Graves, DDS Ltd LLP",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2018; 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.