Dr Nathan Graves and Associates PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

10216 Issued in NC

Legal business name

DR NATHAN GRAVES AND ASSOCIATES PLLC

Practice address

5920 Carolina Beach Rd Ste 140
Wilmington, NC 28412-3365

Phone

(910) 742-0664

NPI assigned

May 11, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Nathan Graves, DMD

Title

Owner

Phone

(910) 742-0664

Specialties & licenses 1

Addresses

Other names 1

• Myrtle Grove Implant and Family Dentistry Doing business as

Locations

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

{
    "created_epoch": "1525996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525996800000",
    "number": "1710477153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7617 CLARK HILL RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284123459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5920 CAROLINA BEACH RD STE 140",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284123365",
            "telephone_number": "910-742-0664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR NATHAN GRAVES AND ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-11",
        "last_updated": "2018-05-11",
        "status": "A",
        "authorized_official_last_name": "GRAVES",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-742-0664",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NC",
            "license": "10216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Myrtle Grove Implant and Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John David Doyal, DC
• Paige Doyal, DC
• Emily Donovan Doyle, CNM, WHNP-BC
• Dr Jeffrey R Coleman Optometrist PA
• Dr Michael Goins
• Dr Tracey and Healing Connections PLLC
• Dr. Amanda D'Angelo, P.C.
• Dr. Amanda D'Angelo, PLLC
• Dr. C. Jones, PLLC
• Dr. Cameron & Associates V One, PLLC

• Dental Clinic/Center in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Dental Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.