Derek Jay Graff, D.M.D.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DD3086 Issued in NM

Practice address

3180 N Butler Ave Ste 200
Farmington, NM 87401-2336

Phone

(505) 327-4884

Fax

(505) 327-9089

NPI assigned

Dec 9, 2008

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Derek Graff DMD LTD

  • Dental Clinic/Center
  • Farmington, NM
  • NPI 1598193088
  NPD (past) Authorized official

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

{
    "created_epoch": "1228780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228780800000",
    "number": "1972748747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3180 N BUTLER AVE STE 200",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874012336",
            "telephone_number": "505-327-4884",
            "fax_number": "505-327-9089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3180 N BUTLER AVE STE 200",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874012336",
            "telephone_number": "505-327-4884",
            "fax_number": "505-327-9089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAFF",
        "first_name": "DEREK",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-09",
        "last_updated": "2008-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NM",
            "license": "DD3086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Misty Gorum
• Gotherapy Solutions LLC
• Jan A Gotta, M.D.
• Grace Place for Women, Incorporated
• Tracie D Grace, FNP-C
• Jean Graham, M.D.
• Warren Kirkland Graham, DDS
• Jeffrey S Grant, M.D.
• Christine Graves, APRN
• Jo Allison Green-Dragony, M.S.JD CCC SLP

• Orthodontics and Dentofacial Orthopedics Dentistry in Farmington, NM
• Providers in Farmington, NM by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.