P Ronald Graziani DDS LTD

Primary specialty

DentistTaxonomy code 122300000X

License

2070 Issued in WV

Legal business name

P RONALD GRAZIANI DDS LTD

Practice address

315 First St
Fairmont, WV 26554-2802

Phone

(304) 366-3378

Fax

(304) 366-5978

NPI assigned

Oct 26, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Paul Ronald Graziani, DDS

Title

Dentist

Phone

(304) 366-7771

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 2

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

• Adam Grubler, DDS

  • Dentist
  • Bridgeport, WV
  • NPI 1609213313
  NPD (past)
• Caroline G Labritz, DDS

  • General Practice Dentistry
  • Westover, WV
  • NPI 1619075645
  NPD (past)

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114002375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 FIRST ST",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265542802",
            "telephone_number": "304-366-7771",
            "fax_number": "304-366-5978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 FIRST ST",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265542802",
            "telephone_number": "304-366-3378",
            "fax_number": "304-366-5978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P RONALD GRAZIANI DDS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRAZIANI",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "RONALD",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "304-366-7771",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "WV",
            "license": "2070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0135200000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "500292",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Marissa Layne Owens
• Daniel Joseph Page, ATC
• Megan Paknik
• Justin Palmer
• Patricia Palmer
• Raquel Palmer

• Dentist in Fairmont, WV
• Providers in Fairmont, WV by specialty
• Dentist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.