Organization Active NPI

Stuart L. Graves Dental Associates, P.C.

  • Oral and Maxillofacial Surgery (Dentist)
  • Rockville, MD
National Provider Identifier
1831499433
Registry record updated Oct 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
14447 Issued in MD
Legal business name
STUART L. GRAVES DENTAL ASSOCIATES, P.C.
Practice address
11200 Rockville Pike Ste 115
Rockville, MD 20852-7114
Phone
(301) 881-3840
NPI assigned
Oct 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2010

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

Authorized official

Name
Stuart L Graves
Title
Owner/President
Phone
(301) 881-3840

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0700X 14694 MD
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X 14447 MD Primary

Addresses

Primary practice location

11200 Rockville Pike Ste 115
Rockville, MD 20852-7114

Mailing address

11200 Rockville Pike Ste 115
Rockville, MD 20852-7114
Phone (301) 881-3840

National Provider Directory

National Provider Directory

Locations

11200 Rockville Pike
Ste 115
Rockville, MD 20852
Phone (301) 881-3840

NPI Registry JSON

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

{
    "created_epoch": "1288224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288224000000",
    "number": "1831499433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11200 ROCKVILLE PIKE STE 115",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208527114",
            "telephone_number": "301-881-3840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11200 ROCKVILLE PIKE STE 115",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208527114",
            "telephone_number": "301-881-3840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUART L. GRAVES DENTAL ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-28",
        "last_updated": "2010-10-28",
        "status": "A",
        "authorized_official_last_name": "GRAVES",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "301-881-3840"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "MD",
            "license": "14694",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MD",
            "license": "14447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2010; 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.