Meagan Elise Graul, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

019029198 Issued in IL

Practice address

229 W Saint Louis St Ste 1
Lebanon, IL 62254-1515

Phone

(618) 537-2017

NPI assigned

Oct 30, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Anna R. Smith DMD, PC

  • General Practice Dentistry
  • Godfrey, IL
  • NPI 1003964081
  NPD (past)
• Larry W. Crocker DMD, PC

  • General Practice Dentistry
  • Godfrey, IL
  • NPI 1215034608
  NPD (past)

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

{
    "created_epoch": "1351555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1184978157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 W SAINT LOUIS ST STE 1",
            "city": "LEBANON",
            "state": "IL",
            "postal_code": "622541515",
            "telephone_number": "618-537-2017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 W SAINT LOUIS ST STE 1",
            "city": "LEBANON",
            "state": "IL",
            "postal_code": "622541515",
            "telephone_number": "618-537-2017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAUL",
        "first_name": "MEAGAN",
        "middle_name": "ELISE",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-30",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019029198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dale A Fischer, DC
• Jacob Eldon Frazier, DMD, MS
• Tonya Gass
• Katy Renee Gayford, ATC, PHD
• Kelsey Gerdes
• Justin Groennert, O.D.
• Jill Lynn Groom
• Dawn M. Hankins, PHD, ATC
• Jessica L Henderson, ATC
• Home and Environments for Living and Programs

• Dentist in Lebanon, IL
• Providers in Lebanon, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; 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.