Megan Graham, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

6373-15 Issued in WI

Practice address

2524 E Webster PL Ste 201
Milwaukee, WI 53211-4257

Phone

(414) 963-9440

NPI assigned

Jun 24, 2009

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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 and National Provider Directory roles.

• Lake Park Dental LLC

  • Dental Clinic/Center
  • Milwaukee, WI
  • NPI 1184279028
  NPD Authorized official

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

{
    "created_epoch": "1245801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1174751523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2524 E WEBSTER PL STE 201",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532114257",
            "telephone_number": "414-963-9440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2524 E WEBSTER PL STE 201",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532114257",
            "telephone_number": "414-963-9440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "MEGAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-24",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "6373-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda L Gragg, LPC
• Eric Graham, MD
• Gerard W. Graham, M.D.
• Hilda Marie Graham, APNP
• Mary Beth Graham, MD
• Sandra E Graham, PH.D.
• Stephania Graham, LPN
• Katherine J Gralinski, APNP
• David W Grambow, MD
• Samuel Robert Vincent Granatelli

• Dentist in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; 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.