Angelle Graham, RDH

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

633 E Pioneer Ave
Montesano, WA 98563-4700

Phone

(720) 257-3497

NPI assigned

Jan 30, 2022

Last updated

May 5, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1643500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714867200000",
    "number": "1588317655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 TERRACE AVE",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985202723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 E PIONEER AVE",
            "city": "MONTESANO",
            "state": "WA",
            "postal_code": "985634700",
            "telephone_number": "720-257-3497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "ANGELLE",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-30",
        "last_updated": "2024-05-05",
        "certification_date": "2024-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.orofacialsynergy.com",
            "affiliation": "N",
            "address_1": "633 E Pioneer Ave",
            "city": "Montesano",
            "state": "WA",
            "country_code": "US",
            "postal_code": "985634700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Thomas Adam Floch, D.C.
• Jacqueline Flowers, DNP, ARNP, FNP-C
• Nicole M Gleeson, LMP
• Sarah Elizabeth Golan, LBA, BCBA
• Michael J Goltra, PTA
• Courtney Alexis Grajek
• Grant W Jackson MD PS
• Grays Harbor Community Hospital (GHCH Aberdeen F Street Clinic)
• Grays Harbor Community Hospital (GHCH Montesano Clinic)
• Grays Harbor County (Grays Harbor County Jail Medical)

• Specialist in Montesano, WA
• Providers in Montesano, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2024; 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.