Organization Active NPI

Norma L. Graves

  • Dental Hygienist
  • Joliet, IL
National Provider Identifier
1316494404
Registry record updated Sep 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
020015595 Issued in IL
Legal business name
NORMA L. GRAVES
Practice address
1001 Neufairfield Dr
Joliet, IL 60432-0736
Phone
(815) 671-3174
NPI assigned
Sep 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2016

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

Authorized official

Name
Norma Graves
Title
Registered Dental Hygienist
Phone
(815) 671-3174

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental HygienistGroup: 193400000X SINGLE SPECIALTY GROUP 124Q00000X 020015595 IL Primary

Addresses

Primary practice location

1001 Neufairfield Dr
Joliet, IL 60432-0736

Mailing address

1001 Neufairfield Dr
Joliet, IL 60432-0736

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1473120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473120000000",
    "number": "1316494404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 NEUFAIRFIELD DR",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604320736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 NEUFAIRFIELD DR",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604320736",
            "telephone_number": "815-671-3174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORMA L. GRAVES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-06",
        "last_updated": "2016-09-06",
        "status": "A",
        "authorized_official_last_name": "GRAVES",
        "authorized_official_first_name": "NORMA",
        "authorized_official_title_or_position": "REGISTERED DENTAL HYGIENIST",
        "authorized_official_telephone_number": "815-671-3174"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dental Hygienist",
            "state": "IL",
            "license": "020015595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2016; 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.