Kathryn Graham Jodry, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

13098 Issued in TX

Practice address

1001 Buckingham Rd
Ste 100
Richardson, TX 75081-5850

Phone

(972) 235-6752

Fax

(972) 235-8688

NPI assigned

Oct 10, 2006

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

Medicare fee-for-service enrollment

Enrolled in TX

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": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420761600000",
    "number": "1700974367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 BUCKINGHAM RD STE 100",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750815850",
            "telephone_number": "972-235-6752",
            "fax_number": "972-235-8688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 BUCKINGHAM RD",
            "address_2": "STE 100",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750815850",
            "telephone_number": "972-235-6752",
            "fax_number": "972-235-8688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JODRY",
        "first_name": "KATHRYN",
        "middle_name": "GRAHAM",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2015-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "13098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jim P Hussey Dopa
• Jiny Elizabeth Jimmy
• Caryn Jines
• Jinsong Zhang, MD PHD
• JJ Pearce High School
• John H Harney MD PLLC
• John W Wilson D O P a
• John W. Beaty, PH.D.,P.C.
• Sam John, LPC
• Johnson Medical Associates, P.a.

• Dentist in Richardson, TX
• Providers in Richardson, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2015; 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.