Active NPI
Lowell Richard Graves, DDS
- Endodontics
- Lakewood, CO
National Provider Identifier
1821022872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 3316
- Practice address
- 3190 S Wadsworth Blvd
Suite 300
Lakewood, CO 80227-4899 - Phone
- (303) 988-6110
- NPI assigned
- Jul 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 3316 | CO | Primary |
Addresses
Primary practice location
3190 S Wadsworth Blvd
Suite 300
Lakewood, CO 80227-4899
Mailing address
PO Box 23167
Silverthorne, CO 80498-3167
Phone (970) 262-0800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3316 | CO | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821022872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 23167",
"city": "SILVERTHORNE",
"state": "CO",
"postal_code": "804983167",
"telephone_number": "970-262-0800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3190 S WADSWORTH BLVD",
"address_2": "SUITE 300",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802274899",
"telephone_number": "303-988-6110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAVES",
"first_name": "LOWELL",
"middle_name": "RICHARD",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "CO",
"license": "3316",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.