Organization Active NPI

Ricahrd E. Graham DMD PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Wesley Chapel, NC
National Provider Identifier
1659676278
Registry record updated Jan 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
8498 Issued in NC
Legal business name
RICAHRD E. GRAHAM DMD PLLC
Practice address
6400 Monroe-Weddington Rd.
Suite D
Wesley Chapel, NC 28104
Phone
(973) 906-3191
NPI assigned
Jan 12, 2011
Last updated
Jan 12, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2011

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

Authorized official

Name
Dr. Richard Edwin Graham
Title
Owner
Phone
(914) 772-7703

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 8498 NC Primary

Addresses

Primary practice location

6400 Monroe-Weddington Rd.
Suite D
Wesley Chapel, NC 28104

Mailing address

6400 Weddington Monroe Rd./ RT. 84
Suite D
Wesley Chapel, NC 28104

National Provider Directory

National Provider Directory

Locations

6400 Monroe Weddington Rd
Ste D
Wesley Chapel, NC 28104
Phone (704) 821-8008

NPI Registry JSON

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

{
    "created_epoch": "1294790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294790400000",
    "number": "1659676278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 WEDDINGTON MONROE RD./ RT. 84",
            "address_2": "SUITE D",
            "city": "WESLEY CHAPEL",
            "state": "NC",
            "postal_code": "28104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 MONROE-WEDDINGTON RD.",
            "address_2": "SUITE D",
            "city": "WESLEY CHAPEL",
            "state": "NC",
            "postal_code": "28104",
            "telephone_number": "973-906-3191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICAHRD E. GRAHAM DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-12",
        "last_updated": "2011-01-12",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "EDWIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-772-7703",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NC",
            "license": "8498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2011; 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.