Organization Active NPI

Terrence L. Graff DDS PC

  • Dentist
  • Orland Park, IL
National Provider Identifier
1689056665
Registry record updated Jun 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019.014568 Issued in IL
Legal business name
TERRENCE L. GRAFF DDS PC
Practice address
10741 165TH St
Orland Park, IL 60467-8713
Phone
(708) 364-1155
NPI assigned
Jun 25, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2015

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

Authorized official

Name
Terrence L Graff
Title
President
Phone
(708) 364-1155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 019.014568 IL Primary

Addresses

Primary practice location

10741 165TH St
Orland Park, IL 60467-8713

Mailing address

10741 165TH St
Orland Park, IL 60467-8713

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1435190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435190400000",
    "number": "1689056665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10741 165TH ST",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604678713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10741 165TH ST",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604678713",
            "telephone_number": "708-364-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRENCE L. GRAFF DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-25",
        "last_updated": "2015-06-25",
        "status": "A",
        "authorized_official_last_name": "GRAFF",
        "authorized_official_first_name": "TERRENCE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-364-1155"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.014568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2015; 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.