Anthony Graham

Primary specialty

DentistTaxonomy code 122300000X

License

DN15163 Issued in FL

Practice address

2500 W Lake Mary Blvd
Suite- 106
Lake Mary, FL 32746-3501

Phone

(407) 328-6411

NPI assigned

May 12, 2008

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Networks

• Freedom Health HMO Network

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.

• Adam Diasti DDS & Associates P.C.

  • Dentist
  • Tampa, FL
  • NPI 1366540270
  NPD (past)
• Coast Florida P.a.

  • Dentist
  • Lake Mary, FL
  • NPI 1457927865
  NPD (past)
• Coast Florida P.a.

  • Dentist
  • Tampa, FL
  • NPI 1730287673
  NPD (past)
• Oral Health Management PLLC

  • Dentist
  • Hendersonville, TN
  • NPI 1164523031
  NPD (past)

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210550400000",
    "number": "1457528267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2502 N ROCKY POINT DR",
            "address_2": "SUITE 1000- CREDENTIALING",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336071421",
            "telephone_number": "813-288-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 W LAKE MARY BLVD",
            "address_2": "SUITE- 106",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463501",
            "telephone_number": "407-328-6411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "ANTHONY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-12",
        "last_updated": "2008-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN15163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Goss, Parker & Quinsey, P.a.
• Goss, Parker and Quinsey, P.a.
• Patricia Grassman Gould, CNM
• Babita Gounden, O.D.
• Shellie Graham-Lapp, D.O.
• Alberto Jose Grajales, RBT
• Grand'S Best Friend LLC
• Bethany Grant
• Lisa Nardi Grant, COTA/L
• Lori A Grant, DPM

• Dentist in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.

Verify at the official NPI Registry.