Rachel Theresa Hargraves, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

056649 Issued in NY

Practice address

30 Round Lake Rd
Ballston Lake, NY 12019-1130

Phone

(518) 899-2252

NPI assigned

Apr 25, 2012

Last updated

Dec 20, 2016By the provider in NPPES

Sex

Female

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

Enrolled in NY

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.

Enrollment records 1

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.

• Rachel Hargraves DDS PLLC

  • Dentist
  • Ballston Lake, NY
  • NPI 1710423363
  NPD (past) Authorized official

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

{
    "created_epoch": "1335312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482192000000",
    "number": "1205194404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3681 E LYDIUS ST",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123033562",
            "telephone_number": "518-928-5707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 ROUND LAKE RD",
            "city": "BALLSTON LAKE",
            "state": "NY",
            "postal_code": "120191130",
            "telephone_number": "518-899-2252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARGRAVES",
        "first_name": "RACHEL",
        "middle_name": "THERESA",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-25",
        "last_updated": "2016-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN 20359",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "056649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Lavinia Guilbeault
• Joseph S. Gulyas, D.C.
• Robert Joseph Halbig, M.D.
• Harlan R. Hall Jr., LMSW
• Audra Hanley, M.D.
• Tracey L Hay, R.N.
• Bea Francis Hayes, M.S., N.C.C., LMHC
• Paula M Hayes, FNP
• Heartspace Midwifery, PLLC
• Heeney Physical Therapy, PC (Bender Rehabilitation Center)

• Dentist in Ballston Lake, NY
• Providers in Ballston Lake, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.