Caroline Evelyn Graham, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

13596 Issued in TX

Practice address

800 W Airport Fwy Ste 810
Irving, TX 75062-6285

Phone

(972) 392-3400

NPI assigned

Jan 24, 2018

Sex

Female

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 NC

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Group practices

Integrative Chiropractic and Natural MedicineGroup PAC ID 6204082126, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Integrative Chiropractic and Natural Medicine

  • Chiropractor
  • Indian Trail, NC
  • NPI 1942560818
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1516752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516752000000",
    "number": "1962900902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 WEISS LN",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750390005",
            "telephone_number": "704-770-7113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W AIRPORT FWY STE 810",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750626285",
            "telephone_number": "972-392-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "CAROLINE",
        "middle_name": "EVELYN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-24",
        "last_updated": "2018-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "13596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorenda L. Grace, DDS
• Gracenelly Services Inc.
• Selina Lorraine Graham-Moline, OTR-L, OTD
• Ben Ray Graham, PA-C
• Brandy Nichole Graham, FNP
• Clara Graham, PA
• Marianne Graham, RN, IBCLC
• Jayasree Grandhi, MD
• Jennifer Wong Granger, DPT
• Aja Grant, PT, DPT

• Chiropractor in Irving, TX
• Providers in Irving, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.