Organization Active NPI

Bryan Graham and Kyle McKinney DDS

Doing business as Sleep Well Carolina

  • Dentist
  • Hickory, NC
National Provider Identifier
1356038608
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
BRYAN GRAHAM AND KYLE MCKINNEY DDS
Doing business as
Sleep Well Carolina
Practice address
221 13TH Avenue PL NW Ste 101
Hickory, NC 28601-2596
Phone
(828) 328-5581
Fax
(828) 322-1745
NPI assigned
Apr 18, 2023
Last updated
Jul 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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

Authorized official

Name
Dr. Bryan Douglas Graham, DDSNPI 1780892133
Title
Officer
Phone
(828) 328-5581

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

221 13TH Avenue PL NW Ste 101
Hickory, NC 28601-2596

Mailing address

221 13TH Avenue PL NW Ste 102
Hickory, NC 28601-2596
Phone (828) 328-5581

Other names 1

  • Sleep Well Carolina Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240126002065 NC DME Supplier - Oral Surgery - Dentist 5799138673 Practice locations: Hickory, NC

National Provider Directory

National Provider Directory

Locations

221 13th Avenue Pl NW
Ste 101
Hickory, NC 28601
Phone (828) 322-8484

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719964800000",
    "number": "1356038608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 13TH AVENUE PL NW STE 102",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286012596",
            "telephone_number": "828-328-5581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 13TH AVENUE PL NW STE 101",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286012596",
            "telephone_number": "828-328-5581",
            "fax_number": "828-322-1745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYAN GRAHAM AND KYLE MCKINNEY DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-18",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "828-328-5581",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sleep Well Carolina",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sleep Well Carolina",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hickory, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.