Thomas Patrick Graham, DMD

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DS038311 Issued in PA

Practice address

1651 N Cedar Crest Blvd Ste 209
Allentown, PA 18104-2316

Phone

(610) 821-1130

NPI assigned

Aug 21, 2010

Last updated

Jan 15, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Mar 16, 2017 through Mar 16, 2027

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• TPG DMD, LLC

  dba Compassion Endodontics

  • Dental Clinic/Center
  • West Lawn, PA
  • NPI 1710585815
  NPD Authorized official
• Lehigh Valley Endodontics-Allentown

  • Endodontics
  • Allentown, PA
  • NPI 1306135314
  NPD (past)
• Snyder Endodontics, PLLC

  • Endodontics
  • Lancaster, PA
  • NPI 1316395841
  NPD (past)

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

{
    "created_epoch": "1282348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547510400000",
    "number": "1215243746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 KNOLLWOOD DR",
            "city": "READING",
            "state": "PA",
            "postal_code": "196089738",
            "telephone_number": "570-367-9901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 N CEDAR CREST BLVD STE 209",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181042316",
            "telephone_number": "610-821-1130"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "32E E Roseville Rd",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176013871",
            "country_code": "US",
            "telephone_number": "717-826-9959",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "THOMAS",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-21",
        "last_updated": "2019-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS038311",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "PA",
            "license": "DS038311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott A. Gradwell, D.M.D.
• Meghan Elizabeth Graeca, DO
• Kathryn Graff, PA
• Donald E Graham, LCSW
• Thomas J. Graham, M.D.
• Kristopher Grajny
• Melissa Grande, RD, LDN
• Heather Margaret Grant
• Lauren Grantz, PHARMD
• Donna M Grather, CRNP

• Endodontics in Allentown, PA
• Providers in Allentown, PA by specialty
• Endodontics in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.