Organization Active NPI

Summit Oral Surgery & Implant Center

  • Oral and Maxillofacial Surgery (Dentist)
  • Billings, MT
National Provider Identifier
1073656567
Registry record updated Oct 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
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

Updated by the provider on Oct 17, 2022

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)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
112397100MedicaidWY

Other names 1

  • Summit Oral Surgery and Implant Center Former legal business name

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.