Jay Douglas Graver, DMD

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

DS025182L Issued in PA

Practice address

1100 Wilford Hall Loop, BLDG 4554, Attn: 59 MDW/SGHC
Poc: Ms Darlon Jackson
Jbsa-Lackland, TX 78256-9908

Phone

(210) 292-6225

NPI assigned

Dec 19, 2005

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

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": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564963200000",
    "number": "1356327639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 WILFORD HALL LOOP, BLDG 4554, ATTN: 59 MDW/SGHC",
            "address_2": "POC: MS DARLON JACKSON",
            "city": "JBSA-LACKLAND",
            "state": "TX",
            "postal_code": "782369908",
            "telephone_number": "210-292-6552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 WILFORD HALL LOOP, BLDG 4554, ATTN: 59 MDW/SGHC",
            "address_2": "POC: MS DARLON JACKSON",
            "city": "JBSA-LACKLAND",
            "state": "TX",
            "postal_code": "782569908",
            "telephone_number": "210-292-6225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVER",
        "first_name": "JAY",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-19",
        "last_updated": "2019-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "PA",
            "license": "DS025182L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harrison Gordner, DMD
• Ryan Clarke Gottfredson, D.O.
• Amanda Nicole Goyet, PA-C
• Stephen Scott Grabner II
• Palmira R Granado, LCSW
• Abigail Greenwell, MD
• Jerry George Greeson, MED, LAT, ATC
• Bryce M Griffin, DPT
• William Arthur Grosdidier
• Jordan Grove, MD

• Prosthodontics in Jbsa-Lackland, TX
• Providers in Jbsa-Lackland, TX by specialty
• Prosthodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; 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.