Active NPI
Brad W Griffin, D.D.S.
- General Practice Dentistry
- Houston, TX
National Provider Identifier
1184854283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 0024882
- Practice address
- 5020 FM 1960 Rd W
Suite B
Houston, TX 77069-4519 - Phone
- (281) 580-9058
- NPI assigned
- Jul 23, 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 | 0024882 | TX | Primary |
Addresses
Primary practice location
5020 FM 1960 Rd W
Suite B
Houston, TX 77069-4519
Mailing address
1218 SW Military Dr
San Antonio, TX 78221-1535
Phone (210) 928-2814
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151021001089 | TX | Order and Referring Only - Other (Physician) | 9234448879 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024882 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273017600000",
"number": "1184854283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1218 SW MILITARY DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782211535",
"telephone_number": "210-928-2814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5020 FM 1960 RD W",
"address_2": "SUITE B",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770694519",
"telephone_number": "281-580-9058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIFFIN",
"first_name": "BRAD",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-07-23",
"last_updated": "2010-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "0024882",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.