Wayne D. Graves, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

R7431 Issued in MO

Practice address

2750 Clay Edwards Dr
Ste 612
North Kansas City, MO 64116-3258

Phone

(816) 221-7744

Fax

(816) 221-7755

NPI assigned

Jun 13, 2005

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)

Enrolled

Credentials

Doctor of Osteopathy

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376006400000",
    "number": "1679577001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6130 N MATTOX RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641512500",
            "telephone_number": "816-746-1833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 CLAY EDWARDS DR",
            "address_2": "STE 612",
            "city": "NORTH KANSAS CITY",
            "state": "MO",
            "postal_code": "641163258",
            "telephone_number": "816-221-7744",
            "fax_number": "816-221-7755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVES",
        "first_name": "WAYNE",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2013-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "R7431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Ernest Gordon, MD
• Lisa Ann Gourley, CPHT
• Nicholas Gourley, CRNA
• Jason C Graham, MD
• Karladine E Graves, D.O.
• Christine D Green, M.D.
• Jeremy M Greenhagen, CRNA
• Dashaun M Greenhill, CRNA
• Jennifer Sue Gregory, CPHT
• Patrick D Griffith, MD

• Family Medicine Physician in North Kansas City, MO
• Providers in North Kansas City, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.