David Alan Graves, D.M.D.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

5285 Issued in KY

Practice address

501 W Poplar St
Elizabethtown, KY 42701-2410

Phone

(270) 765-6156

Fax

(270) 765-6157

NPI assigned

Aug 10, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214956800000",
    "number": "1104837962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 W POPLAR ST",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012410",
            "telephone_number": "270-765-6156",
            "fax_number": "270-765-6157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W POPLAR ST",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012410",
            "telephone_number": "270-765-6156",
            "fax_number": "270-765-6157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVES",
        "first_name": "DAVID",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2008-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "KY",
            "license": "5285",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KY",
            "license": "5285",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal S Graham
• Kimberli Graham, LPCC
• Rachel W Graham
• Denise Michele Grant
• Marian Grant, LPCA
• Andrew S Gray, DPT
• Jamie Shaw Gray, PHARM D
• Kandice Nicole Gray, APRN
• Melissa J Gray
• Grayson County Hospital Foundation Inc.

• Oral and Maxillofacial Surgery (Dentist) in Elizabethtown, KY
• Providers in Elizabethtown, KY by specialty
• Oral and Maxillofacial Surgery (Dentist) in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; 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.