Ryan Grove, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

40360 Issued in TX

Practice address

401 Oak St
Graham, TX 76450-2521

Phone

(940) 549-0350

NPI assigned

Jun 28, 2023

Last updated

Jul 9, 2024By 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

Locations

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.

• Brian K Hill DDS PLLC

  dba Lake CountryDental Center

  • Dental Clinic/Center
  • Graham, TX
  • NPI 1164313557
  NPD

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

{
    "created_epoch": "1687910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1356028898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1945 ALLISON ST",
            "city": "GRAHAM",
            "state": "TX",
            "postal_code": "764504810",
            "telephone_number": "402-740-2979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 OAK ST",
            "city": "GRAHAM",
            "state": "TX",
            "postal_code": "764502521",
            "telephone_number": "940-549-0350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROVE",
        "first_name": "RYAN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-28",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "40360",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "7925",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Graham Regional Medical Center
• Graham Regional Medical Center Hospitalist
• Graham Urgent Care PLLC
• Brian Taylor Graves, D.D.S.
• Keri Gregory, APRN-CPNP
• Sandra Kaye Groves, L.M.T.
• Gruenepointe 1 Graham, LLC (Graham Oaks Care Center)
• Hal D Huffman MD PA
• Connye Barrow Hamlin, MA, LPC, NCC
• Haven Med

• Dentist in Graham, TX
• Providers in Graham, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.