Active NPI
Stephen Graziani, DDS
- Dentist
- Charleston, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 3588
- Practice address
- 1213 Virginia St E
Charleston, WV 25301-2941 - Phone
- (304) 343-1216
- Fax
- (304) 343-1292
- NPI assigned
- Aug 31, 2006
- Last updated
- Feb 6, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 3588 | WV | Primary |
Addresses
Primary practice location
1213 Virginia St E
Charleston, WV 25301-2941
Mailing address
1213 Virginia St E
Charleston, WV 25301-2941
Phone (304) 343-1216
Other practice location 1
2939 Virginia Ave
Hurricane, WV 25526-1254
Phone (304) 562-6301
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 4, 2017 through Apr 4, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3588 | WV | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Falbo Monday & Graziani PLLC | Current | Accepting new patients | |
| Jay J. Coyle DDS & Associates PA | Dentist | Past | Accepting new patients |
| Falbo & Monday PLLC | Past | Accepting new patients | |
| William Summerville DDS PLLC | Past | Accepting new patients |
Locations
1213 Virginia St E
Charleston, WV 25301
Phone (304) 343-1216
2939 Virginia Ave
Hurricane, WV 25526
Phone (304) 562-6301
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dental Clinic/Center
- Charleston, WV
- NPI 1649794348
-
- General Practice Dentistry
- Charleston, WV
- NPI 1356458236
-
- Dentist
- Charlotte, NC
- NPI 1245452333
-
dba Distinctive Dentistry of Charlotte
- General Practice Dentistry
- Charlotte, NC
- NPI 1386681625
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707177600000",
"number": "1750492633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1213 VIRGINIA ST E",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253012941",
"telephone_number": "304-343-1216",
"fax_number": "304-343-1292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1213 VIRGINIA ST E",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253012941",
"telephone_number": "304-343-1216",
"fax_number": "304-343-1292"
}
],
"practiceLocations": [
{
"address_1": "2939 Virginia Ave",
"address_purpose": "LOCATION",
"city": "Hurricane",
"state": "WV",
"postal_code": "255261254",
"country_code": "US",
"telephone_number": "304-562-6301",
"fax_number": "304-562-9671",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRAZIANI",
"first_name": "STEPHEN",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2024-02-06",
"certification_date": "2024-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WV",
"license": "3588",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.