Jeanne Graves

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

Legal business name

JEANNE GRAVES

Doing business as

Dental Hygiene Services

Practice address

2099 W. US Hwy 50
Suite #180
Pueblo, CO 81008-1673

Phone

(719) 542-2489

NPI assigned

Oct 21, 2014

Last updated

Oct 21, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeanne Graves, R.D.H.NPI 1437276631

Title

Owner

Phone

(719) 542-2489

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dental Hygiene Services Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeanne Ellen Graves, RDH

  • Dental Hygienist
  • Pueblo, CO
  • NPI 1437276631
  NPD (past) Authorized official

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

{
    "created_epoch": "1413849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413849600000",
    "number": "1720482607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2099 W. US HWY 50",
            "address_2": "SUITE #180",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810081673",
            "telephone_number": "719-542-2489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2099 W. US HWY 50",
            "address_2": "SUITE #180",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810081673",
            "telephone_number": "719-542-2489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEANNE GRAVES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-21",
        "last_updated": "2014-10-21",
        "status": "A",
        "authorized_official_last_name": "GRAVES",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-542-2489",
        "authorized_official_credential": "R.D.H."
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04014437",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Hygiene Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mikayla Jarratt
• Olga Jasina
• Bryant Pinto Javier, DO
• Rose Marie Javornik
• JB Pharmacy Inc
• Jed J Tatsuyama, MD, PC
• Adam Jeffryes, MA, LPC
• Jenfitzpatrickmd
• Abigail Jenkins, BCABA
• Adam Jennings, PT

• Dental Hygienist in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Dental Hygienist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2014; 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.