NPIMap

Organization Active NPI

Sheldon M.Graves Pediatric Dentistry

  • Pediatric Dentistry
  • Memphis, TN
National Provider Identifier
1457781379
Registry record updated Nov 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DS0000004417 Issued in TN
Legal business name
SHELDON M.GRAVES PEDIATRIC DENTISTRY
Practice address
4137 Kirby Pkwy
Suite 4
Memphis, TN 38115-6532
Phone
(901) 433-0701
Fax
(901) 433-0703
NPI assigned
Nov 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2013

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

Authorized official

Name
Dr. Sheldon M. Graves, D.D.S.
Title
Owner
Phone
(901) 433-0701

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0221X DS0000004417 TN Primary
Pediatric DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0221X DS0000008876 TN

Addresses

Primary practice location

4137 Kirby Pkwy
Suite 4
Memphis, TN 38115-6532

Mailing address

4137 Kirby Pkwy
Suite 4
Memphis, TN 38115-6532
Phone (901) 433-0701

National Provider Directory

National Provider Directory
Tax ID family
Sheldon M Graves Todd Smith Pediatric Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4137 Kirby Pkwy
Ste 4
Memphis, TN 38115
Phone (901) 433-0701

NPI Registry JSON

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

{
    "created_epoch": "1384300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384300800000",
    "number": "1457781379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4137 KIRBY PKWY",
            "address_2": "SUITE 4",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381156532",
            "telephone_number": "901-433-0701",
            "fax_number": "901-433-0703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4137 KIRBY PKWY",
            "address_2": "SUITE 4",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381156532",
            "telephone_number": "901-433-0701",
            "fax_number": "901-433-0703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELDON M.GRAVES PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-13",
        "last_updated": "2013-11-13",
        "status": "A",
        "authorized_official_last_name": "GRAVES",
        "authorized_official_first_name": "SHELDON",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-433-0701",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TN",
            "license": "DS0000004417",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TN",
            "license": "DS0000008876",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2013; 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.