Organization Active NPI

Matthew Graham, DDS PLLC

  • Dental Clinic/Center
  • Henrico, VA
National Provider Identifier
1164211017
Registry record updated May 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MATTHEW GRAHAM, DDS PLLC
Practice address
1107 Westbriar Dr
Henrico, VA 23238-5013
Phone
(804) 741-2812
NPI assigned
May 6, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2025

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

Authorized official

Name
Dr. Matthew Christian Graham, DDSNPI 1184105645
Title
Dentist
Phone
(757) 635-9745

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1107 Westbriar Dr
Henrico, VA 23238-5013

Mailing address

1107 Westbriar Dr
Henrico, VA 23238-5013
Phone (804) 741-2812

National Provider Directory

National Provider Directory

Locations

1107 Westbriar Dr
Richmond, VA 23238
Phone (804) 741-2812

Practitioners & affiliated clinicians

Practitioners 2

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": "1746489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748044800000",
    "number": "1164211017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 WESTBRIAR DR",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232385013",
            "telephone_number": "804-741-2812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 WESTBRIAR DR",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232385013",
            "telephone_number": "804-741-2812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW GRAHAM, DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-06",
        "last_updated": "2025-05-24",
        "certification_date": "2025-05-24",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "CHRISTIAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "757-635-9745",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henrico, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2025; 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.