Anthony Gragg, D.M.D., M.S.

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

11682 Issued in NC

Practice address

7201 Creedmoor Rd Ste 120
Raleigh, NC 27613-8000

Phone

(919) 846-6622

NPI assigned

May 7, 2014

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

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 15, 2021 through Feb 15, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1399420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594166400000",
    "number": "1174933519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7201 CREEDMOOR RD STE 120",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276138000",
            "telephone_number": "919-846-6622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7201 CREEDMOOR RD STE 120",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276138000",
            "telephone_number": "919-846-6622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAGG",
        "first_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "D.M.D., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-07",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "VT",
            "license": "016.0107689",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "NC",
            "license": "11682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gracie McCarroll, PLLC
• Suzanna Rodriguez Gracyk, RD
• Alexandra Patricia Graddy
• Elizabeth A Grady, LPCS, NCC, DCC
• Grace Graebel, LCMHCA, MT-BC
• Shiquita Marie Graham Hyman, M.S.
• Graham Moore & Clark, LLC
• Aviqon Shantell Graham, MSW
• Diana Rachel Graham, M.D.
• Eboney Graham

• Prosthodontics in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Prosthodontics in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; 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.