Adam Blake Graham, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

5476 Issued in AL

Practice address

2409 Acton Rd Ste 117
Vestavia, AL 35243

Phone

(205) 647-3181

NPI assigned

Nov 29, 2006

Sex

Male

Sole proprietor

No

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 AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Gadsden Family Dentistry, LLC

  dba Gadsden Family Dentistry

  • Dental Clinic/Center
  • Gadsden, AL
  • NPI 1154992055
  NPD (past)

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536105600000",
    "number": "1871660654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 CALDWELL DR",
            "city": "WARRIOR",
            "state": "AL",
            "postal_code": "351801407",
            "telephone_number": "205-647-3181",
            "fax_number": "205-647-1134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2409 ACTON RD STE 117",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "35243",
            "telephone_number": "205-647-3181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 Caldwell Dr",
            "address_purpose": "LOCATION",
            "city": "Warrior",
            "state": "AL",
            "postal_code": "351801407",
            "country_code": "US",
            "telephone_number": "205-647-3181",
            "fax_number": "205-647-1134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "ADAM",
        "middle_name": "BLAKE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2018-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "5476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Lindsey North Goetz, CRNP
• Avery Goggans, M.S.,CCC-SLP
• Teashia Adkins Goodwin, PHD
• Rebecca Graboys
• Grace Comprehensive Dentistry
• David Graham, M.D.
• Jordan Green
• Skylar Belton Griffin, DPT
• Terra Sharron Griffin, LPC
• Henry Randall Griffith, PHD

• Dentist in Vestavia, AL
• Providers in Vestavia, AL by specialty
• Dentist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2018; 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.