Tiffani Sarah Graves

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

16661 Issued in MD

Practice address

201 S Cleveland Ave
Hagerstown, MD 21740-5745

Phone

(301) 745-3777

NPI assigned

Jan 22, 2018

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1516579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516579200000",
    "number": "1225546401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 RIPLEY ST APT 2019",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209107474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S CLEVELAND AVE",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217405745",
            "telephone_number": "301-745-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVES",
        "first_name": "TIFFANI",
        "middle_name": "SARAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-22",
        "last_updated": "2018-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "16661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Grahn, DPM
• Brandy Hooper Grahn, D.P.M
• Amy Grantham, LICSW
• Patrick Joseph Graveline, PSY.D., BCBA-D
• Kathryn Elaine Gravell, CCC,SLP
• Kelly Gray
• Kourtney Green Hadden, LCSW-C
• Melody Green, LCPC
• Jay B Greenberg, MD
• Wendy Greene, OTR/L

• General Practice Dentistry in Hagerstown, MD
• Providers in Hagerstown, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2018; 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.