Individual provider Active NPI

Brooke M. Graff, DDS

  • Dentist
  • Malvern, PA
National Provider Identifier
1437852928
Registry record updated Jul 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS044255 Issued in PA
Practice address
100 Deerfield LN Ste 290
Malvern, PA 19355-2100
Phone
(610) 296-9411
NPI assigned
Mar 23, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS044255 PA Primary

Addresses

Primary practice location

100 Deerfield LN Ste 290
Malvern, PA 19355-2100

Mailing address

100 Deerfield LN Ste 290
Malvern, PA 19355-2100

Other practice location 1

85 Old Barn Dr
West Chester, PA 19382-8357
Phone (610) 613-3388

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 24, 2023 through Jul 24, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DS044255PAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
DRS. Graff & Heier, LLC PastSince Jul 23, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1679529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689984000000",
    "number": "1437852928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 DEERFIELD LN STE 290",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193552100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 DEERFIELD LN STE 290",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193552100",
            "telephone_number": "610-296-9411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "85 Old Barn Dr",
            "address_purpose": "LOCATION",
            "city": "West Chester",
            "state": "PA",
            "postal_code": "193828357",
            "country_code": "US",
            "telephone_number": "610-613-3388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAFF",
        "first_name": "BROOKE",
        "middle_name": "M.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-23",
        "last_updated": "2023-07-22",
        "certification_date": "2023-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS044255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malvern, PA

Sources for this page

Verify at the official NPI Registry.