Active NPI
Johnny M. Griffin DDS PC
- General Practice Dentistry
- Montgomery, AL
National Provider Identifier
1275872426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 3420
- Legal business name
- JOHNNY M. GRIFFIN DDS PC
- Practice address
- 1401 I85 Pkwy Ste D
Montgomery, AL 36106-2833 - Phone
- (334) 274-9861
- Fax
- (334) 274-9863
- NPI assigned
- Feb 7, 2013
- 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. Johnny Mack Griffin, DDS
- Title
- President
- Phone
- (334) 274-9861
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3420 | AL | Primary |
Addresses
Primary practice location
1401 I85 Pkwy Ste D
Montgomery, AL 36106-2833
Mailing address
1401 I85 Pkwy Ste D
Montgomery, AL 36106-2833
Phone (334) 274-9861
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009901290 | Medicaid | AL |
National Provider Directory
National Provider DirectoryLocations
1401 I85 Pkwy
Ste D
Montgomery, AL 36106
Phone (334) 274-9861
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Montgomery, AL
- NPI 1982701348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360195200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1424131200000",
"number": "1275872426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 I85 PKWY STE D",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361062833",
"telephone_number": "334-274-9861",
"fax_number": "334-274-9863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 I85 PKWY STE D",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361062833",
"telephone_number": "334-274-9861",
"fax_number": "334-274-9863"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHNNY M. GRIFFIN DDS PC",
"organizational_subpart": "NO",
"enumeration_date": "2013-02-07",
"last_updated": "2015-02-17",
"status": "A",
"authorized_official_last_name": "GRIFFIN",
"authorized_official_first_name": "JOHNNY",
"authorized_official_middle_name": "MACK",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "334-274-9861",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "AL",
"license": "3420",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009901290",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.