NPIMap

Organization Active NPI

Graham Family Dental, PLLC

  • General Practice Dentistry
  • Forrest City, AR
National Provider Identifier
1275129116
Registry record updated Dec 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
GRAHAM FAMILY DENTAL, PLLC
Practice address
326 N Rosser St
Forrest City, AR 72335-3247
Phone
(870) 633-4591
NPI assigned
Dec 15, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2020

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

Authorized official

Name
Dr. Caitlin Kern Graham, DDSNPI 1720579873
Title
Dentist/Owner
Phone
(870) 821-9212

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

326 N Rosser St
Forrest City, AR 72335-3247

Mailing address

6 Birnamwood St
Forrest City, AR 72335-2415
Phone (870) 821-9212

Other identifiers 1

IdentifierTypeStateIssuer
4264OtherARARKANSAS STATE BOARD OF DENTAL EXAMINERS

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL grahamfamilydentalfc@gmail.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1607990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607990400000",
    "number": "1275129116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 BIRNAMWOOD ST",
            "city": "FORREST CITY",
            "state": "AR",
            "postal_code": "723352415",
            "telephone_number": "870-821-9212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 N ROSSER ST",
            "city": "FORREST CITY",
            "state": "AR",
            "postal_code": "723353247",
            "telephone_number": "870-633-4591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAHAM FAMILY DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-15",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "CAITLIN",
        "authorized_official_middle_name": "KERN",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "870-821-9212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS STATE BOARD OF DENTAL EXAMINERS",
            "identifier": "4264",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "grahamfamilydentalfc@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "326 N Rosser St",
            "city": "Forrest City",
            "state": "AR",
            "country_code": "US",
            "postal_code": "723353247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Forrest City, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; 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.