NPIMap

Organization Active NPI

Graham Family Dentistry, PC

  • General Practice Dentistry
  • West Des Moines, IA
National Provider Identifier
1073780490
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
08507 Issued in IA
Legal business name
GRAHAM FAMILY DENTISTRY, PC
Practice address
9350 University Ave
Suite 128
West Des Moines, IA 50266-1646
Phone
(515) 987-0680
Fax
(515) 987-0256
NPI assigned
May 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2008

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

Authorized official

Name
Dr. Zachary Graham, DDSNPI 1639208093
Title
Dentist/President
Phone
(515) 987-0680

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 08507 IA Primary

Addresses

Primary practice location

9350 University Ave
Suite 128
West Des Moines, IA 50266-1646

Mailing address

9350 University Ave
Suite 128
West Des Moines, IA 50266-1646
Phone (515) 987-0680

National Provider Directory

National Provider Directory

Locations

9350 University Ave
Ste 128
West Des Moines, IA 50266
Phone (515) 987-0680

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1073780490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9350 UNIVERSITY AVE",
            "address_2": "SUITE 128",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661646",
            "telephone_number": "515-987-0680",
            "fax_number": "515-987-0256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9350 UNIVERSITY AVE",
            "address_2": "SUITE 128",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661646",
            "telephone_number": "515-987-0680",
            "fax_number": "515-987-0256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAHAM FAMILY DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-14",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_title_or_position": "DENTIST/PRESIDENT",
        "authorized_official_telephone_number": "515-987-0680",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "08507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.