NPIMap

Organization Active NPI

Thomas Cody Graves DDS and Cody Clark Graves DDS

  • General Practice Dentistry
  • Goldthwaite, TX
National Provider Identifier
1528169232
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8429 Issued in TX
Legal business name
THOMAS CODY GRAVES DDS AND CODY CLARK GRAVES DDS
Practice address
1318 Fisher St
Goldthwaite, TX 76844
Phone
(325) 648-2251
Fax
(325) 648-2721
NPI assigned
Sep 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Tom Cody Graves, DDS
Title
President
Phone
(225) 648-2251

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 8429 TX Primary

Addresses

Primary practice location

1318 Fisher St
Goldthwaite, TX 76844

Mailing address

1318 Fisher St
PO Box 628
Goldthwaite, TX 76844
Phone (325) 648-2251

National Provider Directory

National Provider Directory

Locations

1318 Fisher St
Goldthwaite, TX 76844
Phone (325) 648-2251

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528169232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1318 FISHER ST",
            "address_2": "PO BOX 628",
            "city": "GOLDTHWAITE",
            "state": "TX",
            "postal_code": "76844",
            "telephone_number": "325-648-2251",
            "fax_number": "325-648-2721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1318 FISHER ST",
            "city": "GOLDTHWAITE",
            "state": "TX",
            "postal_code": "76844",
            "telephone_number": "325-648-2251",
            "fax_number": "325-648-2721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS CODY GRAVES DDS AND CODY CLARK GRAVES DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRAVES",
        "authorized_official_first_name": "TOM",
        "authorized_official_middle_name": "CODY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "225-648-2251",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "8429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goldthwaite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.