DR. KORY GRAHL DMD
NPI 1174053078
Dentist in Las Vegas, NV

Q: What is Kory Grahl's NPI number?

The NPI number for Kory Grahl is 1174053078. It was assigned to this individual provider in the NPPES registry on June 14, 2017.

Q: What is Kory Grahl's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Kory Grahl was last updated on March 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 14, 2017PECOS Enrolled

1700 W CHARLESTON BLVD BLDG D, LAS VEGAS, NV 89102(858) 382-2633 Get Directions Write a Review

NPPES record last updated: March 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 5, 2024, Jul 1, 2021, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

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About Dr. Kory Grahl Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KORY GRAHL DMD (NPI 1174053078) is an individual dentist in Las Vegas, Nevada, licensed in Nevada (7695) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1174053078

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. KORY GRAHLCredential: DMD

Location Address1700 W CHARLESTON BLVD BLDG DLas Vegas, NV 89102-2335

Mailing Address12397 Shoreline Echo AveLas Vegas, NV 89138-6184

Phone(858) 382-2633

Sole ProprietorYes

Enumeration DateJune 14, 2017

Last NPPES UpdateMarch 5, 20244 updates tracked since enumeration

NPPES CertifiedMarch 5, 2024

✔ NPI 1174053078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Licenses✔ Licensed in NV · 7695✔ Licensed in NV · LL-548-21

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 101397 (CA), 33969 (TX)

1700 W CHARLESTON BLVD BLDG D, Las Vegas, NV 89102

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Secondary Practice Locations 3

Location 110755 Scripps Poway Pkwy Ste KSan Diego, CA 92131-3924 · Phone (858) 547-0070

Location 2201 University Oaks Ste 770Round Rock, TX 78665-2443 · Phone (512) 537-5334

Location 3306 Walnut Ave Ste 36ASan Diego, CA 92103-4936 · Phone (619) 234-8254

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, BEST Life and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kory Grahl Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.51 typical visit price

range $57.07 – $173.24

Typical copayment $22.12 (range $14.26 – $43.31)

Most-billed visit code 99203

Established Patient

$71.14 typical visit price

range $18.27 – $140.96

Typical copayment $17.78 (range $4.56 – $35.24)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JASON ROBERT KLINGLER DMD

Dentist