Individual provider Active NPI

Paul Albert Graf, D.D.S.

  • Dentist
  • Spring, TX
National Provider Identifier
1205989290
Registry record updated Apr 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12113 Issued in TX
Practice address
20423 Kuykendahl Rd
200
Spring, TX 77379-3491
Phone
(281) 580-8848
Fax
(281) 826-0084
NPI assigned
Jan 21, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 12113 TX Primary

Addresses

Primary practice location

20423 Kuykendahl Rd
200
Spring, TX 77379-3491

Mailing address

2739 Drexel Dr
Houston, TX 77027-5149
Phone (281) 580-8848

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160318000955 TX Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 0345547386

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12113TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Paul a. Graf, DDS PA PastSince Apr 1, 2015 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1169337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430265600000",
    "number": "1205989290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2739 DREXEL DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770275149",
            "telephone_number": "281-580-8848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20423 KUYKENDAHL RD",
            "address_2": "200",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773793491",
            "telephone_number": "281-580-8848",
            "fax_number": "281-826-0084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAF",
        "first_name": "PAUL",
        "middle_name": "ALBERT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-21",
        "last_updated": "2015-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "12113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

Verify at the official NPI Registry.