Active NPI
Rana Denise Graham, DDS
- Student in an Organized Health Care Education/Training Program
- Richmond, VA
National Provider Identifier
1942211206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 521 N 11TH St
Room 315
Richmond, VA 23298-5045 - Phone
- (804) 828-1790
- Fax
- (804) 828-0163
- NPI assigned
- Aug 11, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 0401411505 | VA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | VA | Primary |
Addresses
Primary practice location
521 N 11TH St
Room 315
Richmond, VA 23298-5045
Mailing address
PO Box 980566
Pediatric Dentistry
Richmond, VA 23298-0566
Phone (804) 828-1790
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401411505 | VA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279497600000",
"number": "1942211206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 980566",
"address_2": "PEDIATRIC DENTISTRY",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232980566",
"telephone_number": "804-828-1790",
"fax_number": "804-828-0163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "521 N 11TH ST",
"address_2": "ROOM 315",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232985045",
"telephone_number": "804-828-1790",
"fax_number": "804-828-0163"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAHAM",
"first_name": "RANA",
"middle_name": "DENISE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-11",
"last_updated": "2010-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "VA",
"license": "0401411505",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "VA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.