Richard Albert Graff Jr., DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS19469L Issued in PA

Practice address

222 Willow Valley Lakes Dr
Suite 1400
Willow Street, PA 17584-9463

Phone

(717) 464-4585

NPI assigned

Aug 22, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in PA

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": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609982644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 WILLOW VALLEY LAKES DR",
            "address_2": "SUITE 1400",
            "city": "WILLOW STREET",
            "state": "PA",
            "postal_code": "175849463",
            "telephone_number": "717-464-4585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 WILLOW VALLEY LAKES DR",
            "address_2": "SUITE 1400",
            "city": "WILLOW STREET",
            "state": "PA",
            "postal_code": "175849463",
            "telephone_number": "717-464-4585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAFF",
        "first_name": "RICHARD",
        "middle_name": "ALBERT",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS19469L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith Ann Foster
• Richard P Frey, DO
• Lawrence M George, LSW
• Marina Gonzalez, MD
• Tama Goodman, LSW
• Kaitlyn Renae Graybill, OTR/L
• Greiner Spine and Sports Physical Therapy
• Timothy J Greiner, DPT
• Taylor Grenier
• Jennifer L Grim

• General Practice Dentistry in Willow Street, PA
• Providers in Willow Street, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.