Active NPI
Nicholas Craig Graor, D.M.D.
- Dentist
- Cleveland, OH
National Provider Identifier
1144381070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 03014294
- Practice address
- 4827 State Rd
Cleveland, OH 44109-5542 - Phone
- (216) 741-1067
- NPI assigned
- Dec 13, 2006
- Last updated
- Jun 12, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 03014294 | OH | Primary |
Addresses
Primary practice location
4827 State Rd
Cleveland, OH 44109-5542
Mailing address
6714 Pin Tail Dr
Brecksville, OH 44141-2845
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03014294 | OH | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jin Choi DMD LLC | Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213228800000",
"number": "1144381070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6714 PIN TAIL DR",
"city": "BRECKSVILLE",
"state": "OH",
"postal_code": "441412845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4827 STATE RD",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441095542",
"telephone_number": "216-741-1067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAOR",
"first_name": "NICHOLAS",
"middle_name": "CRAIG",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-13",
"last_updated": "2008-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "03014294",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.