Organization Active NPI

Graves International Chiropractic Oakland, Inc.

  • Chiropractor
  • Oakland, CA
National Provider Identifier
1285861161
Registry record updated Jun 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC25874 Issued in CA
Legal business name
GRAVES INTERNATIONAL CHIROPRACTIC OAKLAND, INC.
Practice address
2638 International Blvd
Oakland, CA 94601-1512
Phone
(510) 532-9884
Fax
(510) 532-9864
NPI assigned
Jun 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2009

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

Authorized official

Name
Dr. Samuel Monroe Graves IV, DCNPI 1457421851
Title
Chiropractor
Phone
(510) 532-9884

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC25874 CA Primary

Addresses

Primary practice location

2638 International Blvd
Oakland, CA 94601-1512

Mailing address

2638 International Blvd
Oakland, CA 94601-1512
Phone (510) 532-9884

National Provider Directory

National Provider Directory

Locations

2638 International Blvd
Oakland, CA 94601
Phone (510) 532-9884

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1245196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245196800000",
    "number": "1285861161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2638 INTERNATIONAL BLVD",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946011512",
            "telephone_number": "510-532-9884",
            "fax_number": "510-532-9864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2638 INTERNATIONAL BLVD",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946011512",
            "telephone_number": "510-532-9884",
            "fax_number": "510-532-9864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAVES INTERNATIONAL CHIROPRACTIC OAKLAND, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-17",
        "last_updated": "2009-06-17",
        "status": "A",
        "authorized_official_last_name": "GRAVES",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "MONROE",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "510-532-9884",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC25874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2009; 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.