Douglas W Graham, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4583 Issued in KY

Practice address

6900 Houston Rd
Ste 17
Florence, KY 41042-4884

Phone

(859) 283-1777

Fax

(859) 283-1703

NPI assigned

Mar 13, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Graham Chiropractic Enterprises

  • Chiropractor
  • Florence, KY
  • NPI 1992857080
  NPD (past) Authorized official

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376956800000",
    "number": "1114050655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 HOUSTON RD",
            "address_2": "STE 17",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410424884",
            "telephone_number": "859-283-1777",
            "fax_number": "859-283-1703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 HOUSTON RD",
            "address_2": "STE 17",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410424884",
            "telephone_number": "859-283-1777",
            "fax_number": "859-283-1703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "DOUGLAS",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2013-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000000112736",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85000651",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "4400452",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "2766DC",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittany Gottschall, M.A.
• Carolina Goyco, DMD
• Grace Haven Home LLC
• Shelley Sue Graft, SLP
• Graham Chiropractic Enterprises
• Jonathan Kern Grainger, MD
• Lauren Elizabeth Grammer, APRN
• Althea Granger, MSN
• Sarah Grant-Foster
• Cathy Marie Gratkowski, D.C.

• Chiropractor in Florence, KY
• Providers in Florence, KY by specialty
• Chiropractor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2013; 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.