Active NPI
Paul Allen McGriff, D.M.D.
- General Practice Dentistry
- Federal Way, WA
National Provider Identifier
1083849905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DE00009784
- Practice address
- 2335 SW 320TH St Ste 2
Federal Way, WA 98023-2569 - Phone
- (253) 752-6990
- NPI assigned
- May 21, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DE00009784 | WA | Primary |
Addresses
Primary practice location
2335 SW 320TH St Ste 2
Federal Way, WA 98023-2569
Mailing address
4012 Broadmoor Dr NE
Tacoma, WA 98422-4735
Phone (253) 380-6198
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE00009784 | WA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242864000000",
"number": "1083849905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4012 BROADMOOR DR NE",
"city": "TACOMA",
"state": "WA",
"postal_code": "984224735",
"telephone_number": "253-380-6198",
"fax_number": "253-927-7942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2335 SW 320TH ST STE 2",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980232569",
"telephone_number": "253-752-6990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGRIFF",
"first_name": "PAUL",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-05-21",
"last_updated": "2009-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "DE00009784",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Federal Way, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.