Individual provider Active NPI

Stephen Graziani, DDS

  • Dentist
  • Charleston, WV
National Provider Identifier
1750492633
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3588 Issued in WV
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, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
3588WVMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Falbo Monday & Graziani PLLC CurrentSince Feb 11, 2024 Accepting new patients
Jay J. Coyle DDS & Associates PA Dentist Past Accepting new patients
Falbo & Monday PLLC PastSince Feb 11, 2024 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.

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

Verify at the official NPI Registry.