Mark Alan Graham, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

54870 Issued in CA

Practice address

907 San Ramon Valley Blvd Ste 104
Danville, CA 94526-4036

Phone

(925) 820-3000

Fax

(925) 820-6293

NPI assigned

Sep 20, 2006

Last updated

Dec 27, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mark Graham, DDS, Inc.

  • Dental Clinic/Center
  • Danville, CA
  • NPI 1306578497
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735257600000",
    "number": "1023115896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 SAN RAMON VALLEY BLVD STE 104",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945264036",
            "telephone_number": "925-820-3000",
            "fax_number": "925-820-6293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 SAN RAMON VALLEY BLVD STE 104",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945264036",
            "telephone_number": "925-820-3000",
            "fax_number": "925-820-6293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "MARK",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "54870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Esther Goren
• Michael Milton Gottlieb, M.D.
• Julia Govan
• Amit Goyal, DMD
• David A Graham, DDS
• Jelsea Grant
• Green Apple Acupuncture
• Robert Baron Green, AU.D.
• Roger A Greenwald, M.D.
• Benjamin Greer, M.D.

• Dentist in Danville, CA
• Providers in Danville, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.