Steven Van de Graaff

Primary specialty

DentistTaxonomy code 122300000X

License

DGD 8744 Issued in SC

Practice address

99 Crestview Dr
North Augusta, SC 29841-4701

Phone

(402) 249-0002

NPI assigned

Jun 30, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Crestview Family Dental, PC

  • Dentist
  • North Augusta, SC
  • NPI 1851743249
  NPD (past) Authorized official

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

{
    "created_epoch": "1467244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467244800000",
    "number": "1548611536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "748 LOCKS HILL CT",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309074978",
            "telephone_number": "402-249-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 CRESTVIEW DR",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298414701",
            "telephone_number": "402-249-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DE GRAAFF",
        "first_name": "STEVEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-30",
        "last_updated": "2016-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "DGD 8744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Umg Prompt Care South Carolina, LLC
• United Rehab Inc.
• University Health Services, Inc.
• University Medical Group LLC
• Upscale Residential Care, Inc.
• Alyson Nicole Varga, DPT
• John R Velky, M.D.
• Hammond Verdery
• Veterans Transportation
• Arlene Harris Vincent, P.T.

• Dentist in North Augusta, SC
• Providers in North Augusta, SC by specialty
• Dentist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2016; 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.