Active NPI
Catherine Jane Graham, DMD
- Pediatric Dentistry
- Cullman, AL
National Provider Identifier
1528620937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- D-0006956-C1
- Practice address
- 1965 Al Highway 157 Ste a
Cullman, AL 35058-0672 - Phone
- (205) 310-8457
- NPI assigned
- Jul 5, 2019
- Last updated
- Dec 19, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DRPM2044 | FL | |
| Pediatric Dentistry | 1223P0221X | D-0006956-C1 | AL | Primary |
Addresses
Primary practice location
1965 Al Highway 157 Ste a
Cullman, AL 35058-0672
Mailing address
1965 Al Highway 157 Ste a
Cullman, AL 35058-0672
Phone (256) 398-6502
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D-0006956-C1 | AL | MD | Pediatric Dentist |
| DRPM2044 | FL | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catherine J Graham DMD LLC | Pediatric Dentistry | Current | Accepting new patients |
Locations
1965 AL Highway 157
#A
Cullman, AL 35058
Phone (256) 398-6502
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639872000000",
"number": "1528620937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1965 AL HIGHWAY 157 STE A",
"city": "CULLMAN",
"state": "AL",
"postal_code": "350580672",
"telephone_number": "256-398-6502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1965 AL HIGHWAY 157 STE A",
"city": "CULLMAN",
"state": "AL",
"postal_code": "350580672",
"telephone_number": "205-310-8457"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAHAM",
"first_name": "CATHERINE",
"middle_name": "JANE",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-05",
"last_updated": "2021-12-19",
"certification_date": "2021-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "FL",
"license": "DRPM2044",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "AL",
"license": "D-0006956-C1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cullman, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.