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THEODORE GRAHAM D.D.S.
NPI 1417372913
Dentist in Okanogan, WA

Active since February 20, 2014PECOS Enrolled
626 SECOND AVENUE, OKANOGAN, WA 98840(509) 422-5700(509) 422-7680 Get Directions Write a Review

NPPES record last updated: February 20, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Theodore Graham D.d.s. NPPES

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

THEODORE GRAHAM D.D.S. (NPI 1417372913) is an individual dentist in Okanogan, Washington, licensed in Washington (DE60432317) and active in the NPI registry since February 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417372913
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameTHEODORE GRAHAMCredential: D.D.S.
Location Address626 SECOND AVENUEOkanogan, WA 98840-9679
Mailing AddressPo Box 1340Okanogan, WA 98840-1340 · (509) 422-5700 · Fax (509) 422-7680
Phone(509) 422-5700
Fax(509) 422-7680
Sole ProprietorNo
Enumeration DateFebruary 20, 2014
✔ NPI 1417372913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in WA · DE60432317
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
626 SECOND AVENUE, Okanogan, WA 98840
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Guardian, Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Theodore Graham D.d.s. 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 98840 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theodore Graham's NPI number?

The NPI number for Theodore Graham is 1417372913. It was assigned to this individual provider in the NPPES registry on February 20, 2014.

Where is Theodore Graham located?

Theodore Graham practices at 626 Second Avenue, Okanogan, WA 98840. The listed phone number is (509) 422-5700.

What is Theodore Graham's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Theodore Graham enrolled in Medicare?

Yes. Theodore Graham is registered in the Medicare PECOS enrollment system.

What insurance does Theodore Graham accept?

Health plans from Guardian and Premera Blue Cross Blue Shield of Alaska list Theodore Graham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Theodore Graham was last updated on February 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.