Diana Raquel Graham, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

17738 Issued in MD

Practice address

19729 Executive Park Cir
Germantown, MD 20874-2642

Phone

(301) 515-0030

Fax

(301) 515-0031

NPI assigned

Nov 3, 2022

Last updated

Nov 3, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: diana.graham.p1@direct.familyhch.nextgenshare.com

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.

• Hema Patel DDS, LLC

  dba Wisteria Dental Care

  • Dentist
  • Germantown, MD
  • NPI 1235510819
  NPD (past)

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

{
    "created_epoch": "1667433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1265149769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 PENNINGTON DR",
            "city": "BRUNSWICK",
            "state": "MD",
            "postal_code": "217161259",
            "telephone_number": "410-562-4795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19729 EXECUTIVE PARK CIR",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208742642",
            "telephone_number": "301-515-0030",
            "fax_number": "301-515-0031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "DIANA",
        "middle_name": "RAQUEL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-03",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "17738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dominique Gould
• Pavithra Gowda, PA
• GP Therapy, LLC (Germantown Physical Therapy)
• Samuel David Grafton, PA-C
• Carly Graham, QMHS, CMS, RBT
• David A Granger, M.D.
• Gratitude Counseling LLC
• Kyle Murphy Graves
• Dawn Gravlin
• Kelly M Gray, M.D.

• General Practice Dentistry in Germantown, MD
• Providers in Germantown, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; 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.