John Carl Graf III, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2011018803 Issued in MO

Practice address

307 Gabriel St
Advance, MO 63730-0039

Phone

(573) 722-3044

NPI assigned

Jul 2, 2008

Last updated

Jun 28, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Trey Graf Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Feb 22, 2016 through Feb 22, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Graf Family Dentistry, PSC

  • General Practice Dentistry
  • Louisville, KY
  • NPI 1396117131
  NPD (past) Authorized official
• DRS. McCall, Currens, Ralston & Topor

  dba Drs. McCall, Currens, Topor & Thompson

  • General Practice Dentistry
  • Louisville, KY
  • NPI 1134243918
  NPD (past)

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340841600000",
    "number": "1154583987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 GABRIEL ST",
            "city": "ADVANCE",
            "state": "MO",
            "postal_code": "637300039",
            "telephone_number": "573-722-3044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 GABRIEL ST",
            "city": "ADVANCE",
            "state": "MO",
            "postal_code": "637300039",
            "telephone_number": "573-722-3044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAF",
        "first_name": "JOHN",
        "middle_name": "CARL",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-02",
        "last_updated": "2012-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "8610",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2011018803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TREY",
            "last_name": "GRAF",
            "prefix": "DR.",
            "credential": "D.M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Cross Trails Medical Center
• Beverly Jaye Dillow, RDH
• Bruce J Dovin
• Sarah Dovin, RPH
• Suzana Gjino
• Lana S Green, RDH
• Haven Health Care Medical Clinic, Inc
• Haven Health Cares
• Inspiring Relationships Counseling
• Jerrilyn D Adkisson

• General Practice Dentistry in Advance, MO
• Providers in Advance, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.