Graham Family Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

GRAHAM FAMILY DENTAL

Practice address

325 W Main St Ste G
Riverton, WY 82501-3448

Phone

(307) 856-5210

NPI assigned

May 23, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Tyler A. Graham, DDSNPI 1053934182

Title

Dentist

Phone

(307) 856-5210

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 2

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

• Tyler A. Graham, DDS

  • General Practice Dentistry
  • Riverton, WY
  • NPI 1053934182
  NPD Authorized official
• Guy Salisbury Menefee, DDS

  • General Practice Dentistry
  • Riverton, WY
  • NPI 1366632994
  NPD (past)

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

{
    "created_epoch": "1590192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590192000000",
    "number": "1780207811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 W MAIN ST STE G",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "825013448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 W MAIN ST STE G",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "825013448",
            "telephone_number": "307-856-5210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAHAM FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-23",
        "last_updated": "2020-05-23",
        "certification_date": "2020-05-23",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "TYLER",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "307-856-5210",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "grahamfamilydental20@gmail.com",
            "affiliation": "N",
            "address_1": "325 W Main St Ste G",
            "city": "Riverton",
            "state": "WY",
            "country_code": "US",
            "postal_code": "825013448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kelly R Goede, LMT
• Rachel Elizabeth Goff
• Sage Ladelle Goff
• Whittney K Gomendi-Smith, DPT
• Roger L Gose, MD
• Joshua Leon Graham, PHARMD
• McKenzie Ann Graham, PHARMD, RPH
• Tyler Graham, PT, DPT
• Tyler A. Graham, DDS
• Grand Valley in-Home 24 HR Nursing LLC (Grand Valley Nursing LLC)

• Dental Clinic/Center in Riverton, WY
• Providers in Riverton, WY by specialty
• Dental Clinic/Center in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.