Active NPI
Lindsey Nichole Graves, DMD
- Dentist
- Clarksville, IN
National Provider Identifier
1356662829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 9128
- Practice address
- 1116 Veterans Pkwy
Clarksville, IN 47129-2370 - Phone
- (812) 283-1100
- Fax
- (812) 283-4177
- NPI assigned
- Jun 18, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 12011482A | IN | |
| Dentist | 122300000X | 9128 | KY | Primary |
Addresses
Primary practice location
1116 Veterans Pkwy
Clarksville, IN 47129-2370
Mailing address
PO Box 3189
Syracuse, NY 13220-3189
Phone (866) 273-8204
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9128 | KY | MD | Dentist |
| 12011482A | IN | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John W Ihnen DMD LLC | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431561600000",
"number": "1356662829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3189",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132203189",
"telephone_number": "866-273-8204",
"fax_number": "866-803-4943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1116 VETERANS PKWY",
"city": "CLARKSVILLE",
"state": "IN",
"postal_code": "471292370",
"telephone_number": "812-283-1100",
"fax_number": "812-283-4177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAVES",
"first_name": "LINDSEY",
"middle_name": "NICHOLE",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-18",
"last_updated": "2015-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IN",
"license": "12011482A",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "KY",
"license": "9128",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clarksville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.