Kimberly Lutz Gragg, DDS, MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

6987 Issued in NC

Practice address

303 S Green St Ste 201
Morganton, NC 28655-3526

Phone

(828) 438-8998

Fax

(828) 438-8898

NPI assigned

Aug 19, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Kimberly L Gragg DDS Ms PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Morganton, NC
  • NPI 1003385790
  NPD Authorized official
• Gragg Hickory PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Hickory, NC
  • NPI 1366230138
  NPD

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540944000000",
    "number": "1609980077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 S GREEN ST STE 201",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286553526",
            "telephone_number": "828-438-8998",
            "fax_number": "828-438-8898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 S GREEN ST STE 201",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286553526",
            "telephone_number": "828-438-8998",
            "fax_number": "828-438-8898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAGG",
        "first_name": "KIMBERLY",
        "middle_name": "LUTZ",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2018-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NC",
            "license": "6987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89-902A1",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grace Hospital Inc
• Grace Hospital, Inc
• Grace Hospital, Inc.
• Grace Lifecare, Inc.
• Grace Nursing Center, Inc.
• Granite Falls LTC, LLC
• Cheryl Dehart Greathouse, OTRL
• Tiffany Cook Greene, PHARMD
• Justin Daniel Greer, LCSWA
• Jeffrey Griffiths

• Orthodontics and Dentofacial Orthopedics Dentistry in Morganton, NC
• Providers in Morganton, NC by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2018; 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.