Wayne Van de Graaff

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

D9884 Issued in OR

Practice address

2708 Santiam Hwy SE
Albany, OR 97322-5251

Phone

(541) 928-1635

NPI assigned

Jun 11, 2010

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 OR

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

State licenses

Networks

• WA PPO C-SNP

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

{
    "created_epoch": "1276214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748563200000",
    "number": "1043530173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2708 SANTIAM HWY SE",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973225251",
            "telephone_number": "541-928-1635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2708 SANTIAM HWY SE",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973225251",
            "telephone_number": "541-928-1635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DE GRAAFF",
        "first_name": "WAYNE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-11",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OR",
            "license": "D9884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robyn Urbach
• Deborah Ann Uri, RN
• Victoria A Usher, RN
• Jay Vaikuntam, DDS
• Valley Health Acupuncture LLC
• Christopher Van Doran, LD
• Jeana Barbara Van Dyke, RD, LD, CDE
• Logan Van Essen
• Jeremy Jon Van Tress, MSW
• Lawrence S Van, COLLEGE DEGREE

• Oral and Maxillofacial Surgery (Dentist) in Albany, OR
• Providers in Albany, OR by specialty
• Oral and Maxillofacial Surgery (Dentist) in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; 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.