DR. ANDREW RICHARD GRAHAM DDS
NPI 1154259133
Dentist - General Practice in Canton, OH

Q: What is Andrew Graham's NPI number?

The NPI number for Andrew Graham is 1154259133. It was assigned to this individual provider in the NPPES registry on May 11, 2026.

Q: What is Andrew Graham's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Andrew Graham was last updated on May 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 11, 2026PECOS Enrolled

1320 MERCY DR NW, CANTON, OH 44708(330) 471-5950 Get Directions Write a Review

NPPES record last updated: May 11, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Andrew Richard Graham Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ANDREW RICHARD GRAHAM DDS (NPI 1154259133) is an individual general practice provider in Canton, Ohio, licensed in Ohio (30.028407) and active in the NPI registry since May 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154259133

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. ANDREW RICHARD GRAHAMCredential: DDS

Location Address1320 MERCY DR NWCanton, OH 44708-2614

Mailing Address405 Buffalo Ridge StLouisville, OH 44641-8997 · (330) 936-9610

Phone(330) 471-5950

Sole ProprietorYes

Enumeration DateMay 11, 2026

NPPES CertifiedMay 11, 2026

✔ NPI 1154259133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in OH · 30.028407

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

1320 MERCY DR NW, Canton, OH 44708

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Andrew Richard Graham Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44708 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMANDA G GILLIS CRNA

Nurse Anesthetist, Certified Registered