Active NPI
Tamara Graham, DC
- Chiropractor
- South Cairo, NY
National Provider Identifier
1225171895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X005344-1
- Practice address
- 2431 Rte. 23 B
South Cairo, NY 12482-0037 - Phone
- (518) 622-3960
- Fax
- (518) 622-9384
- NPI assigned
- Feb 14, 2007
- Last updated
- Dec 19, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X005344-1 | NY | Primary |
Addresses
Primary practice location
2431 Rte. 23 B
South Cairo, NY 12482-0037
Mailing address
PO Box 37
2431 Rte. 23 B
South Cairo, NY 12482-0037
Phone (518) 622-3960
Other names 1
- Mrs. Tamara Graham Heidenberg
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110107000438 | NY | Practitioner - Chiropractic | 6406045301 | Practice locations: Halfmoon, NY; South Cairo, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
10 Executive Park Dr
Suite C
Halfmoon, NY 12065-8649
Phone (518) 371-5422
2431 RT
23B
South Cairo, NY 12482-0037
Phone (518) 622-3960
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X005344-1 | NY | MD | Chiropractor |
| 005344 | NY | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John Graham DC PC | Chiropractor | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Clifton Park, NY
- NPI 1255510616
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766102400000",
"number": "1225171895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 37",
"address_2": "2431 RTE. 23 B",
"city": "SOUTH CAIRO",
"state": "NY",
"postal_code": "124820037",
"telephone_number": "518-622-3960",
"fax_number": "518-622-9384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2431 RTE. 23 B",
"city": "SOUTH CAIRO",
"state": "NY",
"postal_code": "124820037",
"telephone_number": "518-622-3960",
"fax_number": "518-622-9384"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAHAM",
"first_name": "TAMARA",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-14",
"last_updated": "2025-12-19",
"certification_date": "2025-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X005344-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TAMARA",
"last_name": "HEIDENBERG",
"middle_name": "GRAHAM",
"prefix": "MRS.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in South Cairo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.