Justin Graves, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D011908 Issued in AZ

Practice address

8160 S Houghton Rd Ste 130
Tucson, AZ 85747-9720

Phone

(520) 663-4089

Fax

(520) 664-9930

NPI assigned

Jul 18, 2023

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.

• Rita Ranch Dental Group, LLP

  • General Practice Dentistry
  • Tucson, AZ
  • NPI 1386871564
  NPD (past)

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

{
    "created_epoch": "1689638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1548940307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5750 S HOUGHTON RD APT 9308",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857470134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8160 S HOUGHTON RD STE 130",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857479720",
            "telephone_number": "520-663-4089",
            "fax_number": "520-664-9930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVES",
        "first_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-18",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D011908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grateful Guidance Recovery LLC
• Grateful Healling LLC
• Suzanne Michelle Graun, M.ED.
• Cindy Graupmann
• Anjelica Graves
• Matthew Lee Gravett, PA-C
• Gravity Body Fitness & Structural Academy
• Audrey Marie Gray, PA-C
• Genevive Gray
• James S Gray, M.D.

• General Practice Dentistry in Tucson, AZ
• Providers in Tucson, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; 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.