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Export Provider Record NPI 1184855868
Derek O GraberDDS
Active
NPI Number1184855868
NPI TypeNPI-1 Individual
SpecialtyDentist, General Practice
Provider Details
NPI1184855868
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2009-07-29
Last Updated2009-07-29
Mailing Address400 E Diamond Ave
Evansville, IN 47711-3714
United States
Phone: (812) 461-2365
📍 View Map
Primary Practice Address400 E Diamond Ave
Evansville, IN 47711-3714
United States
Phone: (812) 461-2365
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes1223G0001X – Dentist, General PracticeIN12011289A
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About NPI 1184855868

Derek O Graber DDS is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1184855868. The primary specialty listed is Dentist, General Practice. The provider is located in Evansville, IN. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2009-07-29. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1184855868?

NPI 1184855868 belongs to Derek O Graber DDS, a Dentist, General Practice in Evansville, IN. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1184855868 active?

The current status of NPI 1184855868 in the NPPES registry is Active. The record was last updated on 2009-07-29.

What specialty is NPI 1184855868?

NPI 1184855868 is classified under the taxonomy Dentist, General Practice. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1184855868?

You can verify NPI 1184855868 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1184855868?

The primary practice address on file for NPI 1184855868 is 400 E Diamond Ave, Evansville, IN 47711-3714. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1184855868 issued?

NPI 1184855868 was first issued (enumerated) on 2009-07-29. The NPPES record was last updated on 2009-07-29.

Practice Location Map

Derek O Graber is located at 400 E Diamond Ave, Evansville, IN. Use the map below to find directions or verify the practice location.

📍 400 E Diamond Ave, Evansville, IN 47711-3714  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Derek O Graber. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1184855868. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Dentist, General Practice12011289AIN
Data Verified from CMS NPPES Last synced: 2026-08-27 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162