DR. JOHN JUDSON GRAVES (NPI# 1316051352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316051352 |
| Entity Type | Individual |
| Full Name | DR. JOHN JUDSON GRAVES |
| Credential | D.D.S. |
| Practice Address |
402 E Austin St Kermit TX 79745-3222 |
| Mailing Address |
402 E Austin St P.o.box 791 Kermit TX 79745-3222 |
| Practice Telephone | 4325862911 |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
10593 | TX | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801200886 | John A Graves | Family Medicine | 201 S Delaware St # 400, Indianapolis, IN 46204-3746 | 2014-06-17 |
| 1922385236 | John W Graves | Psychologist | 862 Whitby Ave, Yeadon, PA 19050-3510 | 2011-11-15 |
| 1114247905 | John William Graves | Counselor | 228 Rue Petit Bois, Biloxi, MS 39531 | 2010-06-03 |
| 1518002765 | John Franklin Graves Jr. | Counselor | 458 Chestnut Dr, Lusby, MD 20657-3268 | 2007-02-21 |
| 1861582900 | John Terry Graves | Dentist | 243 Underwood Rd, Russellville, AL 35653-1087 | 2006-10-12 |
| 1801875521 | John S Graves | Optometrist | 105 N Grove, Standish, MI 48658-0576 | 2006-01-11 |
| 1639707219 | John Lee Graves Jr. | Student in an Organized Health Care Education/Training Program | 800 Rose St Rm Mn-283, Lexington, KY 40536-6329 | 2020-03-30 |
| 1083276265 | John Payton Graves Jr. | Physical Therapist | 6325 Humphreys Blvd, Memphis, TN 38120-2300 | 2019-07-08 |
| 1477913770 | John Graves | Counselor | 10920 Sw Barbur Blvd, Portland, OR 97219-8600 | 2016-02-29 |
| 1033595160 | John A. Graves | Physical Therapist | 9097 E Desert Cove Ave, Suite 110, Scottsdale, AZ 85260-6279 | 2015-07-30 |
| Street Address |
402 E AUSTIN ST |
| City | KERMIT |
| State | TX |
| Zip Code | 79745-3222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821484932 | Viral Patel Dental PC | Dentist | 402 E Austin St, Kermit, TX 79745-3222 | 2015-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013052760 | Daniel Lawrence Desilets | Dentist | 602 E Campbell, Kermit, TX 79745 | 2007-02-20 |
| 1114924164 | Winkler County Hospital District | Emergency Medicine | 821 Jeffee Drive, Kermit, TX 79745 | 2005-07-06 |
| 1285637520 | Stanly T Selby | Family Medicine | 821 Jeffee Dr Annex A, Kermit, TX 79745 | 2005-05-31 |
| 1679953517 | Amanda Compton | Family Medicine | 828 Myer Ln, Kermit, TX 79745 | 2015-06-05 |
| 1851591200 | Jvhd LLC | Pharmacy | 810 Myer Ln, Kermit, TX 79745 | 2007-07-24 |
| 1487714622 | Pay and Save Inc | Pharmacy | 310 E Austin St, Kermit, TX 79745-3023 | 2006-12-11 |
| 1184755324 | Sohrab Azima | Pharmacist | 310 E Austin St, Kermit, TX 79745-3023 | 2007-03-08 |
| 1457444580 | Wallace L Phillips | Optometrist | 103 S East Ave, Kermit, TX 79745-3606 | 2006-10-02 |
| 1508218686 | Ryan Phillips | Optometrist | 103 S East Ave, Kermit, TX 79745-3606 | 2016-07-12 |
| 1003040452 | Wallace L Phillips | Optometrist | 103 S East Ave, Kermit, TX 79745-3606 | 2009-05-13 |
| Find all providers in zip 79745 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417107889 | Charles E. Sammons, Dds | Dentist | 180 Mingo Avenue, Kermit, WV 25674-0248 | 2008-09-23 |
| 1013052760 | Daniel Lawrence Desilets | Dentist | 602 E Campbell, Kermit, TX 79745 | 2007-02-20 |
| 1821484932 | Viral Patel Dental PC | Dentist | 402 E Austin St, Kermit, TX 79745-3222 | 2015-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447537 | Azle Cube Smiles Pllc | Dentist | 100 Park Plc Ste 224, Azle, TX 76020 | 2020-11-04 |
| 1548860257 | Emeka Abazie Dds Pa | Dentist | 1001 N. Beckley, Suite 304, Desoto, TX 75115 | 2020-10-30 |
| 1699375543 | Long Family Dental | Dentist | 4470 E Highway 287 Ste 1200, Midlothian, TX 76065-7556 | 2020-10-29 |
| 1548860992 | Vequinox Pllc | Dentist | 2605 N Shary Rd, Mission, TX 78574-3221 | 2020-10-27 |
| 1952900466 | Gwendolyn Kines-mcleod Dds,pllc | Dentist | 401 N Ann St Ste B, Terrell, TX 75160-2549 | 2020-10-26 |
| 1609476183 | Texas Saas Pa | Dentist | 3839 Mckinney Ave Ste 130, Dallas, TX 75204-1489 | 2020-10-26 |
| 1295334803 | Jpm Dental of Spring | Dentist | 7312 Louetta Rd Ste B119, Spring, TX 77379-6176 | 2020-10-23 |
| 1750980025 | Neda Hani Tabaei Zavareh | Dentist | 10900 Twisted Elm Dr, Austin, TX 78726-2369 | 2020-10-19 |
| 1710586029 | Whitestone Dental Center Pllc | Dentist | 500 W Whitestone Blvd Ste 102, Cedar Park, TX 78613-2271 | 2020-10-19 |
| 1841899226 | Calvin Eastwood Dds Pllc | Dentist | 3088 Basswood Blvd # 150, Fort Worth, TX 76137-1676 | 2020-10-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.