Katherine M Graham DMD PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D6791 Issued in OR

Legal business name

KATHERINE M GRAHAM DMD PC

Practice address

12672 NW Barnes Rd
Suite 101
Portland, OR 97229-6191

Phone

(503) 644-9915

Fax

(503) 350-1275

NPI assigned

Mar 24, 2016

Organization subpart

No

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

Authorized official

Name

Katherine M Graham, D.M.D.NPI 1144203688

Title

President

Phone

(503) 644-9915

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Katherine Marie Graham, D.M.D.

  • General Practice Dentistry
  • Portland, OR
  • NPI 1144203688
  NPD (past) Authorized official

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

{
    "created_epoch": "1458777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458777600000",
    "number": "1184086647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12672 NW BARNES RD",
            "address_2": "SUITE 101",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972296191",
            "telephone_number": "503-644-9915",
            "fax_number": "503-350-1275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12672 NW BARNES RD",
            "address_2": "SUITE 101",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972296191",
            "telephone_number": "503-644-9915",
            "fax_number": "503-350-1275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHERINE M GRAHAM DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-24",
        "last_updated": "2016-03-24",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-644-9915",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D6791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Kate, PMHNP
• Yasmeen Kateb
• Catherine Marceline Kateley-Williams, LPC, CADC-II
• Sara Kates-Chinoy, N.D.
• Katherine Aravamudan, LPC, LLC
• Kathleen E King LLC
• Kathleen Goforth, Lac
• Kathleen M Girod LCSW LLC
• Kathryn J Ball DMD PC
• Kathryn Stanley Consulting, LLC

• General Practice Dentistry in Portland, OR
• Providers in Portland, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2016; 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.