Organization Active NPI

Charles Raymond Graham III

  • Acupuncturist
  • Baltimore, MD
National Provider Identifier
1689162174
Registry record updated Apr 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
U01122 Issued in MD
Legal business name
CHARLES RAYMOND GRAHAM III
Practice address
3025 Iona Ter
Baltimore, MD 21214-3413
Phone
(410) 426-8223
NPI assigned
Apr 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2020

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

Authorized official

Name
Mr. Charles Raymond Graham III, M.AC., L.AC., DIPL.ANPI 1174011654
Title
Acupuncturist
Phone
(410) 426-8223

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X U01122 MD Primary

Addresses

Primary practice location

3025 Iona Ter
Baltimore, MD 21214-3413

Mailing address

3025 Iona Ter
Baltimore, MD 21214-3413
Phone (410) 426-8223

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1525046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585872000000",
    "number": "1689162174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 IONA TER",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212143413",
            "telephone_number": "410-426-8223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 IONA TER",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212143413",
            "telephone_number": "410-426-8223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES RAYMOND GRAHAM III",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-30",
        "last_updated": "2020-04-03",
        "certification_date": "2020-04-03",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "410-426-8223",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.AC., L.AC., DIPL.A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U01122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2020; 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.