Active NPI
Dennis J Griffin, M.D.
- Diagnostic Radiology Physician
- Englewood, CO
National Provider Identifier
1134106909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 26108
- Practice address
- 501 E Hampden Ave
Englewood, CO 80113-2702 - Phone
- (303) 761-9190
- Fax
- (303) 761-6278
- NPI assigned
- Dec 22, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 26108 | CO | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 25034 | NE | |
| Diagnostic Radiology Physician | 2085R0202X | 04-22019 | KS |
Addresses
Primary practice location
501 E Hampden Ave
Englewood, CO 80113-2702
Mailing address
10700 E Geddes Ave
No 200
Englewood, CO 80112-3800
Phone (303) 761-9190
Other identifiers 19
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025709000 | Medicaid | NE | |
| 1134106909/7726680 | Medicaid | SD | |
| 200254550A | Other | KS | KS MEDICAID |
| P00720353 | Other | NE | RRMCR NE |
| XPY201226 | Other | CA | CA MEDICAID |
| 01261080 | Medicaid | CO | |
| 84-059792913 | Medicaid | NE | |
| 104686178 | Other | MI | MI MEDICAID |
| 1134106909 | Medicaid | UT | |
| 053219401 | Other | TX | TX MEDICAID |
| 200025490A | Other | OK | OK MEDICAID |
| 300048001 | Other | CO | RR MCRE RIA |
| 864805 | Medicaid | AZ | |
| 300090003 | Other | CO | RR MCRE DIA |
| 02558496 | Other | NY | NY MEDICAID |
| 1134106909 | Other | MT | MT MEDICAID |
| 1134106909 | Medicaid | WY | |
| 300090004 | Other | CO | RR MCRE MIC |
| 15583783 | Other | NM | NM MEDICAID |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28246 | CO | MD | Diagnostic Radiology Physician |
| 04-22019 | KS | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diagnostic Imaging Associates | Diagnostic Radiology | Past | Accepting new patients |
| Ria Endovascular, LLC | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Englewood, CO
- NPI 1447299425
-
- Diagnostic Radiology Physician
- Greenwood Village, CO
- NPI 1558301077
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428019200000",
"number": "1134106909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10700 E GEDDES AVE",
"address_2": "NO 200",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "801123800",
"telephone_number": "303-761-9190",
"fax_number": "303-761-6278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 E HAMPDEN AVE",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "801132702",
"telephone_number": "303-761-9190",
"fax_number": "303-761-6278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIFFIN",
"first_name": "DENNIS",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-22",
"last_updated": "2015-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CO",
"license": "26108",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NE",
"license": "25034",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "KS",
"license": "04-22019",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025709000",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1134106909/7726680",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KS MEDICAID",
"identifier": "200254550A",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRMCR NE",
"identifier": "P00720353",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA MEDICAID",
"identifier": "XPY201226",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01261080",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "84-059792913",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MI MEDICAID",
"identifier": "104686178",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1134106909",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TX MEDICAID",
"identifier": "053219401",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OK MEDICAID",
"identifier": "200025490A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MCRE RIA",
"identifier": "300048001",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "864805",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MCRE DIA",
"identifier": "300090003",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NY MEDICAID",
"identifier": "02558496",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MT MEDICAID",
"identifier": "1134106909",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1134106909",
"state": "WY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MCRE MIC",
"identifier": "300090004",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NM MEDICAID",
"identifier": "15583783",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Englewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.