Active NPI
Summit Oral Surgery & Implant Center
- Oral and Maxillofacial Surgery (Dentist)
- Billings, MT
National Provider Identifier
1073656567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- Legal business name
- SUMMIT ORAL SURGERY & IMPLANT CENTER
- Practice address
- 625 Henry Chapple St.
Billings, MT 59106-1839 - Phone
- (406) 259-7438
- Fax
- (406) 259-9729
- NPI assigned
- Feb 14, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Roderick M Griffeth, D.D.S.
- Title
- Owner
- Phone
- (406) 259-7438
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | Primary |
Addresses
Primary practice location
625 Henry Chapple St.
Billings, MT 59106-1839
Mailing address
625 Henry Chapple St
Billings, MT 59106-1839
Phone (406) 259-7438
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 112397100 | Medicaid | WY |
Other names 1
- Summit Oral Surgery and Implant Center
National Provider Directory
National Provider DirectoryLocations
2520 17th St W
Ste 302
Billings, MT 59102
Phone (406) 259-7438
2675 Central Ave
#L8
Billings, MT 59102
Phone (406) 259-7438
2520 17th St W
Billings, MT 59102
Phone (406) 245-0888
2675 Central Ave
Ste L8
Billings, MT 59102
Phone (406) 259-7438
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Oral and Maxillofacial Surgery (Dentist)
- Billings, MT
- NPI 1235262874
-
- Oral and Maxillofacial Surgery (Dentist)
- Billings, MT
- NPI 1558493239
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1665964800000",
"number": "1073656567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 HENRY CHAPPLE ST",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591061839",
"telephone_number": "406-259-7438",
"fax_number": "406-259-9729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 HENRY CHAPPLE ST.",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591061839",
"telephone_number": "406-259-7438",
"fax_number": "406-259-9729"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUMMIT ORAL SURGERY & IMPLANT CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-14",
"last_updated": "2022-10-17",
"certification_date": "2022-10-17",
"status": "A",
"authorized_official_last_name": "GRIFFETH",
"authorized_official_first_name": "RODERICK",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "406-259-7438",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "112397100",
"state": "WY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Summit Oral Surgery and Implant Center",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Billings, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.