Organization Active NPI

C Graves DDS PC

Doing business as Dental Partners of Creve Coeur

  • General Practice Dentistry
  • Saint Louis, MO
National Provider Identifier
1427654151
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
C GRAVES DDS PC
Doing business as
Dental Partners of Creve Coeur
Practice address
11709 Old Ballas Rd Ste 100
Saint Louis, MO 63141-7029
Phone
(314) 432-0960
NPI assigned
Dec 8, 2020
Last updated
Dec 8, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

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

Authorized official

Name
Carl Graves, DDS
Title
DDS
Phone
(314) 432-0960

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

11709 Old Ballas Rd Ste 100
Saint Louis, MO 63141-7029

Mailing address

11709 Old Ballas Rd Ste 100
Saint Louis, MO 63141-7029
Phone (314) 432-0960

Other names 1

  • DENTAL PARTNERS OF CREVE COEUR Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1607385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607385600000",
    "number": "1427654151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11709 OLD BALLAS RD STE 100",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417029",
            "telephone_number": "314-432-0960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11709 OLD BALLAS RD STE 100",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417029",
            "telephone_number": "314-432-0960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C GRAVES DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-08",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A",
        "authorized_official_last_name": "GRAVES",
        "authorized_official_first_name": "CARL",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "314-432-0960",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DENTAL PARTNERS OF CREVE COEUR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; 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.