Morris Russell Graves III, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

31341 Issued in TX

Practice address

9411 Alameda Ave
Ste P
El Paso, TX 79907-5640

Phone

(915) 858-6868

NPI assigned

Aug 7, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Morrie Russell Graves III Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1438905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438905600000",
    "number": "1245616622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9411 ALAMEDA AVE",
            "address_2": "STE P",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799075640",
            "telephone_number": "915-858-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9411 ALAMEDA AVE",
            "address_2": "STE P",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799075640",
            "telephone_number": "915-858-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVES",
        "first_name": "MORRIS",
        "middle_name": "RUSSELL",
        "name_suffix": "III",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-07",
        "last_updated": "2015-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "31341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MORRIE",
            "last_name": "GRAVES",
            "middle_name": "RUSSELL",
            "suffix": "III",
            "credential": "D.M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Gisel G Granillo
• Joshua R Grant, CRNA
• Mark Amir Grant, DO
• Michael Grant, DDS
• Victoria Grasso, D.O.
• Gabrielle Gray, RBT
• Taylor Jon Gray Sr., OD
• Greater Dallas Healthcare Enterprises
• Greater Dallas Healthcare Enterprises
• Greater Dallas Healthcare Enterprises

• General Practice Dentistry in El Paso, TX
• Providers in El Paso, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2015; 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.