James Gravener

Primary specialty

Dental AnesthesiologyTaxonomy code 1223D0004X

License

DA031831 Issued in PA

Practice address

234 S Main St
Slippery Rock, PA 16057-1247

Phone

(267) 939-1435

NPI assigned

Feb 7, 2017

Last updated

Jul 31, 2020By the provider in NPPES

Sex

Male

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• James Gravener DMD P.C.

  • Dental Anesthesiology
  • Cranberry Township, PA
  • NPI 1457296287
  NPD Authorized official

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

{
    "created_epoch": "1486425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596153600000",
    "number": "1306384631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 S MAIN ST",
            "city": "SLIPPERY ROCK",
            "state": "PA",
            "postal_code": "160571247",
            "telephone_number": "267-939-1435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 S MAIN ST",
            "city": "SLIPPERY ROCK",
            "state": "PA",
            "postal_code": "160571247",
            "telephone_number": "267-939-1435"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3501 Terrace St",
            "address_2": "Salk Hall",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152132523",
            "country_code": "US",
            "telephone_number": "412-648-8616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAVENER",
        "first_name": "JAMES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-07",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS041141",
            "primary": false
        },
        {
            "code": "1223D0004X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "PA",
            "license": "DA031831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Connie Hagan, CRNP
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• Susan Elizabeth Hannam, HSD
• Paul F Havey, DMD
• Health Buss LLC

• Dental Anesthesiology in Slippery Rock, PA
• Providers in Slippery Rock, PA by specialty
• Dental Anesthesiology in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2020; 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.