DR. JAY DOUGLAS GRAVER (NPI# 1356327639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356327639 |
| Entity Type | Individual |
| Full Name | DR. JAY DOUGLAS GRAVER |
| Credential | DMD |
| Practice Address |
1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc Poc: Ms Darlon Jackson Jbsa-lackland TX 78256-9908 |
| Mailing Address |
1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc Poc: Ms Darlon Jackson Jbsa-lackland TX 78236-9908 |
| Practice Telephone | 2102926225 |
| Mailing Telephone | 2102926552 |
| Enumeration Date | 2005-12-19 |
| Last Update Date | 2019-08-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
DS025182L | PA | Dental Providers |
| Street Address |
1100 WILFORD HALL LOOP, BLDG 4554, ATTN: 59 MDW/SGHC POC: MS DARLON JACKSON |
| City | JBSA-LACKLAND |
| State | TX |
| Zip Code | 78256-9908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073127692 | Lucinda Geeslin | Social Worker | Oak Hills Church Care and Growth Center, 6929 Camp Bullis Road, San Antonio, TX 78256 | 2020-09-01 |
| 1558916155 | Kathleen Anne Champie | Physical Therapist | 6909 Heuermann Rd, San Antonio, TX 78256 | 2019-08-09 |
| 1861956138 | Arianna Kay Antunez | Optometrist | 15900 La Cantera Pkwy Ste 9915, San Antonio, TX 78256 | 2019-01-30 |
| 1447714274 | Suzanne Perakathu | Nurse Practitioner | 7122 Stonewall Hill, San Antonio, TX 78256 | 2019-01-25 |
| 1114499548 | Myriam Noemi Villarreal | Speech-Language Pathologist | 326 Waxberry Trl, San Antonio, TX 78256 | 2018-12-25 |
| 1013488626 | Campus Bullis Primary Care | Clinic/Center | 6865 Camp Bullis, Suite 201, San Antonio, TX 78256 | 2018-12-07 |
| 1063929792 | Rehabcare Group East, LLC | Clinic/Center | Isle At Watercrest Dominion, 6906 Heuermann Road, San Antonio, TX 78256 | 2018-01-03 |
| 1275932022 | Wg Kirby Pllc | Dentist | 17101 Lacantera Parkway, Bldg 8 Suite 122, San Antonio, TX 78256 | 2014-08-18 |
| 1477893352 | John Mirelez | Pharmacist | 24165 Ih 10, San Antonio, TX 78256 | 2013-02-28 |
| 1831469048 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 15607 Chase Hill Blvd, San Antonio, TX 78256 | 2012-01-04 |
| Find all providers in zip 78256 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386779 | Daniela Rubiano Mejia | Dentist | 505 W Louis Henna Blvd Ste 505, Austin, TX 78728-1701 | 2020-11-05 |
| 1235738527 | Lorena Malpica | Dentist | 5602 Presidio Pkwy Apt 1411, San Antonio, TX 78249-3093 | 2020-10-19 |
| 1922606870 | Luciano Retana | Dentist | 1235 Kinwest Pkwy, Irving, TX 75063-3403 | 2020-10-13 |
| 1295332393 | Jonathan P Hawley | Dentist | 2423 Barrow St, Abilene, TX 79605-6203 | 2020-10-02 |
| 1629684402 | Ramon Noel Hernandez | Dentist | 13000 N Interstate 35 Ste 206, Austin, TX 78753-1030 | 2020-09-17 |
| 1720697600 | Silvia Sobrecueva | Dentist | 4724 Sweetwater Blvd Ste 103, Sugar Land, TX 77479-3150 | 2020-07-27 |
| 1922620400 | Luis Herra | Dentist | 3838 N Braeswood Blvd Apt 249, Houston, TX 77025-3018 | 2020-05-07 |
| 1396381398 | Sixth Dental Partner Pllc | Dentist | 6700 Stonebrook Pkwy Ste 101, Frisco, TX 75034-9639 | 2019-11-25 |
| 1902442155 | Amin Ehsan | Dentist | 106 W Gray St, Houston, Houston, TX 77019 | 2019-11-22 |
| 1629627716 | Mohammad Mehdi Imani Emadi | Dentist | 11970 N Central Expy # 430, Dallas, TX 75243 | 2019-09-10 |
| Find all providers with the same taxonomy | ||||
| City | JBSA-LACKLAND |
| Zip Code | 78256 |
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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.