Kristy L Graham, D.C.

Primary specialty

Orthopedic ChiropractorTaxonomy code 111NX0800X

License

1396 Issued in AR

Practice address

801 Broadway St
Van Buren, AR 72956-5833

Phone

(479) 474-1722

Fax

(479) 474-1743

NPI assigned

Jan 19, 2006

Last updated

Oct 9, 2007By 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

Enrolled in AR

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Ward Chiropractic Clinic

  dba Dr Kristy Graham Chiropractic Clinic

  • Chiropractor
  • Van Buren, AR
  • NPI 1326269887
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191888000000",
    "number": "1316927833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 BROADWAY ST",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "729565833",
            "telephone_number": "479-474-1722",
            "fax_number": "479-474-1743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 BROADWAY ST",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "729565833",
            "telephone_number": "479-474-1722",
            "fax_number": "479-474-1743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "KRISTY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-19",
        "last_updated": "2007-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "AR",
            "license": "1396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Destiny Rebekah Goss
• Victoria Michele Grace
• Graham Cloverleaf Optical Inc.
• Kelly Leigh Graham, O.D.
• Kevin Franklin Graham, HHP.BC-HIS
• Stephen C. Graves, M.D.
• Ashlee Nicole Greb
• Micah Nathan Green
• Ezekiel Gregory
• Griffin Orthopedics & Sports (Complete Orthopaedic & Sports Medicine Center)

• Orthopedic Chiropractor in Van Buren, AR
• Providers in Van Buren, AR by specialty
• Orthopedic Chiropractor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; 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.

Verify at the official NPI Registry.