Hoadiep Nguyen Graham, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

150621 Issued in NC

Practice address

2818 Neuse Blvd
Craven Couty Health Dept: Dental
New Bern, NC 28562-2850

Phone

(252) 636-4920

NPI assigned

Jun 14, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Hoa Diep Tran Nguyen Former name

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229472000000",
    "number": "1497959159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2818 NEUSE BLVD",
            "address_2": "CRAVEN COUTY HEALTH DEPT: DENTAL",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285622850",
            "telephone_number": "252-636-4920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2818 NEUSE BLVD",
            "address_2": "CRAVEN COUTY HEALTH DEPT: DENTAL",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285622850",
            "telephone_number": "252-636-4920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "HOADIEP",
        "middle_name": "NGUYEN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-14",
        "last_updated": "2008-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "150621",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "150621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOA DIEP",
            "last_name": "NGUYEN",
            "middle_name": "TRAN",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Samantha Paige Govitz, DPT
• Brittany Taylor Grady, D.O.
• Richard Dwight Grady, MD
• Alisha Graham
• Erin Nicole Graham, LCAS, LCSW-A
• Jamie Rae Graham, NP
• Kent L Graham, MA, LPC, LCAS, CCS
• Alia Zyatta Grant, LCSW
• Sherrie Grant
• Thomas R Grant, MD

• General Practice Dentistry in New Bern, NC
• Providers in New Bern, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.