John S Graves, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

17719 Issued in CO

Practice address

4770 E Iliff Ave
#228
Denver, CO 80222

Phone

(303) 758-5520

Fax

(303) 758-5521

NPI assigned

Dec 12, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Portercare Adventist Health System

  • General Acute Care Hospital
  • Denver, CO
  • NPI 1801800594
  NPD (past)

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679634927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4770 E ILIFF AVE",
            "address_2": "#228",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80222",
            "telephone_number": "303-758-5520",
            "fax_number": "303-758-5521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4770 E ILIFF AVE",
            "address_2": "#228",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80222",
            "telephone_number": "303-758-5520",
            "fax_number": "303-758-5521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVES",
        "first_name": "JOHN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "17719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01177195",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Graves Chiropractic, P.C.
• Danea Graves, DMD
• Danielle Elizabeth Graves, MSW, LCSW
• Douglas Allan Graves, PSY.D.
• Jessica Graves, MA, LPC, BCB
• Julie Graves, LCSW
• Kasia E Graves, LAC, MSOM
• Keith J Graves, D.C.
• Megan Graves
• Michelle Lee Graves, MA, LPC

• Psychiatry Physician in Denver, CO
• Providers in Denver, CO by specialty
• Psychiatry Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.