Maliah J McGraw, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

D13874 Issued in MN

Practice address

1121 Town Centre Dr Ste 200
Eagan, MN 55123

Phone

(651) 454-4771

NPI assigned

Jun 18, 2017

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 MN

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

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.

• Modern Dental Professionals Minnesota PC

  • General Practice Dentistry
  • Eagan, MN
  • NPI 1255639696
  NPD (past)
• Modern Dental Professionals, Minnesota PC

  • Dentist
  • Faribault, MN
  • NPI 1427298637
  NPD (past)
• Nomeland Dental LLC

  • Dentist
  • Faribault, MN
  • NPI 1184847568
  NPD (past)
• Smile Design Family Dentistry

  • Dentist
  • Eagan, MN
  • NPI 1437369105
  NPD (past)

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

{
    "created_epoch": "1497744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533513600000",
    "number": "1962932491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 TOWN CENTRE DR STE 200",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551231217",
            "telephone_number": "507-454-4771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 TOWN CENTRE DR STE 200",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "55123",
            "telephone_number": "651-454-4771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "412 Heritage Pl",
            "address_purpose": "LOCATION",
            "city": "Faribault",
            "state": "MN",
            "postal_code": "550215248",
            "country_code": "US",
            "telephone_number": "507-334-7595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGRAW",
        "first_name": "MALIAH",
        "middle_name": "J",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-18",
        "last_updated": "2018-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D13874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth Kay McDonald, LPC
• Brian McDonell, RPT
• Morgan Jeanne McElligott
• Aubree McGee
• Tara McGovern, LPCC
• Katherine Ann McGuire, LPCC
• Sarah McIntire
• Erin Elizabeth McLaughlin, LICSW
• Sierra Ray McLean, MD
• Elizabeth Catherine McMahon

• Dentist in Eagan, MN
• Providers in Eagan, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.