Active NPI
William Junior Graham, DC
- Chiropractor
- Kinston, NC
National Provider Identifier
1316063985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2991
- Practice address
- 207 Airport Rd Ste D
Kinston, NC 28504-8859 - Phone
- (252) 559-8850
- Fax
- (252) 559-8867
- NPI assigned
- Mar 22, 2007
- Sex
- Male
- 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 | 2991 | NC | Primary |
Addresses
Primary practice location
207 Airport Rd Ste D
Kinston, NC 28504-8859
Mailing address
PO Box 1012
207 Airport Rd. Suite D
Kinston, NC 28503-1012
Phone (252) 559-8850
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89085 GV | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2991 | NC | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214265600000",
"number": "1316063985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1012",
"address_2": "207 AIRPORT RD. SUITE D",
"city": "KINSTON",
"state": "NC",
"postal_code": "285031012",
"telephone_number": "252-559-8850",
"fax_number": "252-559-8867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 AIRPORT RD STE D",
"city": "KINSTON",
"state": "NC",
"postal_code": "285048859",
"telephone_number": "252-559-8850",
"fax_number": "252-559-8867"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAHAM",
"first_name": "WILLIAM",
"middle_name": "JUNIOR",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-22",
"last_updated": "2008-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "2991",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89085 GV",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kinston, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.