Active NPI
Angela R Graves, DDS
- Prosthodontics
- Cleveland, OH
National Provider Identifier
1992131726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 21061
- Practice address
- 10900 Euclid Ave
Cleveland, OH 44106-1712 - Phone
- (219) 368-2162
- Fax
- (216) 368-3204
- NPI assigned
- Sep 25, 2013
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 21061 | OH | Primary |
Addresses
Primary practice location
10900 Euclid Ave
Cleveland, OH 44106-1712
Mailing address
10900 Euclid Ave
Cleveland, OH 44106-1712
Phone (219) 368-2162
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21061 | Other | OH | DENTAL LICENSE |
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 |
|---|---|---|---|
| 21061 | OH | MD | Prosthodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380067200000",
"number": "1992131726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10900 EUCLID AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441061712",
"telephone_number": "219-368-2162",
"fax_number": "216-368-3204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10900 EUCLID AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441061712",
"telephone_number": "219-368-2162",
"fax_number": "216-368-3204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAVES",
"first_name": "ANGELA",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-25",
"last_updated": "2013-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "OH",
"license": "21061",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTAL LICENSE",
"identifier": "21061",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.