Individual provider Active NPI

Matthew C Graham, DDS

  • General Practice Dentistry
  • Henrico, VA
National Provider Identifier
1184105645
Registry record updated May 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401416069 Issued in VA
Practice address
1107 Westbriar Dr
Henrico, VA 23238-5013
Phone
(804) 741-2812
NPI assigned
Aug 23, 2018
Last updated
May 24, 2025By the provider in NPPES
Sex
Male
Sole proprietor
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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401416069 VA 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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0401416069VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Matthew Graham, DDS PLLC CurrentSince May 25, 2025 Accepting new patients
Stephen S. Young, D.D.S., P.C. General Practice PastSince May 25, 2025 Accepting new patients

Locations

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

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1534982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748044800000",
    "number": "1184105645",
    "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": {
        "last_name": "GRAHAM",
        "first_name": "MATTHEW",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-23",
        "last_updated": "2025-05-24",
        "certification_date": "2025-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401416069",
            "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.