Individual provider Active NPI

Dawn Graham, M.D.

  • Family Medicine Physician
  • Plymouth, MN
National Provider Identifier
1780659680
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
44984 Issued in MN
Practice address
9750 Rockford Rd
Plymouth, MN 55442-2893
Phone
(763) 559-3164
Fax
(763) 559-9012
NPI assigned
Feb 22, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 44984 MN Primary

Addresses

Primary practice location

9750 Rockford Rd
Plymouth, MN 55442-2893

Mailing address

9800 Rockford Rd
Plymouth, MN 55442-2811
Phone (763) 559-0092

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Bridge Medical Supply, Inc. Past Accepting new patients
University of Minnesota Physicians Past Accepting new patients
Camden Physicians LTD. Family Medicine Past Accepting new patients
North Memorial Health Care Past Accepting new patients
University of Minnesota Physicians Past Accepting new patients
North Memorial Health Care Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dgraham11149@direct.northmemorial.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1780659680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9800 ROCKFORD RD",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554422811",
            "telephone_number": "763-559-0092",
            "fax_number": "763-559-9404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9750 ROCKFORD RD",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554422893",
            "telephone_number": "763-559-3164",
            "fax_number": "763-559-9012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "DAWN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-22",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "44984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.