Emily Ellen Graham, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

17024 Issued in TX

Practice address

21301 Kuykendahl Rd.
Suite D
Spring, TX 77375

Phone

(281) 351-2090

Fax

(281) 516-7950

NPI assigned

Aug 15, 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

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.

• Emily Graham DDS

  • Dentist
  • Spring, TX
  • NPI 1942511993
  NPD (past)

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881607117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21301 KUYKENDAHL RD.",
            "address_2": "SUITE D",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "77375",
            "telephone_number": "281-351-2090",
            "fax_number": "281-516-7950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21301 KUYKENDAHL RD.",
            "address_2": "SUITE D",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "77375",
            "telephone_number": "281-351-2090",
            "fax_number": "281-516-7950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "EMILY",
        "middle_name": "ELLEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "17024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Elderly Care Home LLC
• Amy Noelle Gracey, PA-C
• Nadia Grady
• Paul Albert Graf, D.D.S.
• Graham Eye Associates PLLC
• Sara Blythe Graham
• Grand Oaks Psychiatry, P.L.L.C.
• Grand Trails Dental
• Marcos Grant-Pena Sr.
• Devona Renay Grant

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.