Individual provider Active NPI

Bernard Zwerling McGraw

  • General Practice Dentistry
  • Scotts Valley, CA
National Provider Identifier
1386893865
Registry record updated Sep 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
46498 Issued in CA
Practice address
5321 Scotts Valley Dr Ste 106
Scotts Valley, CA 95066-3529
Phone
(831) 438-1861
Fax
(831) 438-3690
NPI assigned
Sep 9, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 46498 CA Primary

Addresses

Primary practice location

5321 Scotts Valley Dr Ste 106
Scotts Valley, CA 95066-3529

Mailing address

5321 Scotts Valley Dr Ste 106
Scotts Valley, CA 95066-3529
Phone (831) 438-1861

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

LicenseStateTypeSpecialty
46498CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220918400000",
    "number": "1386893865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5321 SCOTTS VALLEY DR STE 106",
            "city": "SCOTTS VALLEY",
            "state": "CA",
            "postal_code": "950663529",
            "telephone_number": "831-438-1861",
            "fax_number": "831-438-3690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5321 SCOTTS VALLEY DR STE 106",
            "city": "SCOTTS VALLEY",
            "state": "CA",
            "postal_code": "950663529",
            "telephone_number": "831-438-1861",
            "fax_number": "831-438-3690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGRAW",
        "first_name": "BERNARD",
        "middle_name": "ZWERLING",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-09",
        "last_updated": "2008-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "46498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scotts Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2008; 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.