DR. RYAN KEITH GRAVER (NPI# 1699941096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699941096 |
| Entity Type | Individual |
| Full Name | DR. RYAN KEITH GRAVER |
| Credential | D.M.D. |
| Practice Address |
115 Farley Cir Suite 201 Lewisburg PA 17837-9252 |
| Practice Telephone | 5707684455 |
| Practice Fax Number | 8666685729 |
| Mailing Telephone | 5707684455 |
| Mailing Fax Number | 8666685729 |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2010-09-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 22DI02342400 | NJ | Dental Providers |
| N | 1223E0200X |
Dentist Specialization: Endodontics |
DN001209 | PA | Dental Providers |
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
DS036179 | PA | Dental Providers |
| Street Address |
115 FARLEY CIR SUITE 201 |
| City | LEWISBURG |
| State | PA |
| Zip Code | 17837-9252 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205833977 | Joy Irene Shivas | Social Worker | 115 Farley Cir, Suite 202, Lewisburg, PA 17837-9252 | 2005-07-07 |
| 1558759027 | Geisinger Clinic | Ophthalmology | 115 Farley Cir, Ste 107, Lewisburg, PA 17837-9252 | 2015-01-06 |
| 1598030330 | Janelle A. Lafore, Lcsw, LLC | Social Worker | 115 Farley Cir, Suite 202, Lewisburg, PA 17837-9252 | 2012-03-13 |
| 1194010959 | Skillswork PC | Social Worker | 115 Farley Cir, Suite 105, Lewisburg, PA 17837-9252 | 2011-06-09 |
| 1033444922 | Abby Melissa Irwin | Psychiatry & Neurology | 115 Farley Cir, Suite 304, Lewisburg, PA 17837-9252 | 2009-10-09 |
| 1255516381 | Laure Ann Rohrs Gargano | Counselor | 115 Farley Cir, Suite 109, Lewisburg, PA 17837-9252 | 2008-01-08 |
| 1205022613 | Janelle Ann Lafore | Social Worker | 115 Farley Cir, Suite 202, Lewisburg, PA 17837-9252 | 2007-09-19 |
| 1083833032 | Jason Alabakoff | Dentist | 115 Farley Cir, Suite 203, Lewisburg, PA 17837-9252 | 2007-04-25 |
| 1811018658 | Gennelle R Sweetser | Social Worker | 115 Farley Cir, Suite 105, Lewisburg, PA 17837-9252 | 2007-04-02 |
| 1760502777 | White Deer Run, Inc | Clinic/Center | 115 Farley Cir, Suite 303, Lewisburg, PA 17837-9252 | 2007-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588274245 | Susquehanna Valley Therapy Group, LLC | Counselor | 4552 West Branch Highway, Lewisburg, PA 17837 | 2020-08-06 |
| 1184185910 | Laura Pulaski | Physical Therapy Assistant | 15 Rivercrest Cir, Lewisburg, PA 17837 | 2019-03-26 |
| 1487112892 | Taylor Karin Hendrix | Physical Therapy Assistant | 189 Tressler Dr, Lewisburg, PA 17837 | 2019-03-05 |
| 1902375033 | United States Penitentiary | Pharmacist | 2400 Robert F. Miller Drive, Lewisburg, PA 17837 | 2018-11-19 |
| 1114419710 | Society Hill Dental In Lewisburg | Dentist | 339 Market Street, Lewisburg, PA 17837 | 2018-05-31 |
| 1669919213 | Karen Jean Orchard | Marriage & Family Therapist | 821 Buffalo Road, Lewisburg, PA 17837 | 2017-01-20 |
| 1063892057 | Giant Food Stores LLC | Durable Medical Equipment & Medical Supplies | 224 Hardwood Dr, Lewisburg, PA 17837 | 2015-06-04 |
| 1003207853 | Lenora Jeanne Broda | Counselor | 1800 Market St, Diakon Family Life Services, Lewisburg, PA 17837 | 2015-02-16 |
| 1225457401 | Geisinger Clinic | Clinic/Center | 1717 W Market St, Lewisburg, PA 17837 | 2014-04-15 |
| 1982045456 | Abdul Rahim Ali | Counselor | 32 Whisper Creek, Suite 8, Lewisburg, PA 17837 | 2013-07-12 |
| Find all providers in zip 17837 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659982817 | Hallie Rose Landy | Dentist | 2101 Chestnut St Unit 1426, Philadelphia, PA 19103-3138 | 2020-08-12 |
| 1720696123 | Jmk Endodontics LLC | Dentist | 2 Meridian Blvd Ste 216, Wyomissing, PA 19610-3202 | 2020-07-21 |
| 1770105009 | Nhan James Huu Ngo | Dentist | 215 Upland Sq Dr, Pottstown, PA 19464-9427 | 2020-05-08 |
| 1528627130 | Butler Endodontics | Dentist | 1140 N Main Street Ext, Butler, PA 16001-1957 | 2019-06-07 |
| 1518525138 | Melanie Elizabeth Wallace Martel | Dentist | 600 W Dekalb Pike Ste 301, King of Prussia, PA 19406-3060 | 2019-05-29 |
| 1235794215 | Chester County Endodontics, PC | Dentist | 404 Mcfarlan Rd Ste 302, Kennett Square, PA 19348-2479 | 2019-05-06 |
| 1487147039 | Three Rivers Endodontics East LLC | Dentist | 5770 Baum Blvd Ste 150, Pittsburgh, PA 15206-3763 | 2018-06-08 |
| 1558868182 | Downtown Endodontics, LLC | Dentist | 125 Sixth Street, Suite A, Pittsburgh, PA 15222 | 2018-04-10 |
| 1245747583 | Jk Endodontics | Dentist | 555 Second Ave Ste G-108, Collegeville, PA 19426-3600 | 2018-01-09 |
| 1194173377 | David Shin | Dentist | 3945 Chestnut St Apt 405, Philadelphia, PA 19104-3626 | 2016-05-29 |
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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.