Active NPI
Shawn Michael Griffith, D.D.S.
- Dentist
- St Ignatius, MT
National Provider Identifier
1346727468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DEN-DEN-LIC-15467
- Practice address
- 35401 Mission Dr
Saint Ignatius, MT 59865-7791 - Phone
- (406) 745-3525
- Fax
- (406) 745-3529
- NPI assigned
- Jul 21, 2018
- Last updated
- Mar 14, 2024
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DEN-DEN-LIC-15467 | MT | Primary |
Addresses
Primary practice location
35401 Mission Dr
Saint Ignatius, MT 59865-7791
Mailing address
P.O. Box 880
St. Ignatius, MT 59865
Phone (406) 745-3525
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 |
|---|---|---|---|
| DEN-DEN-LIC-15467 | MT | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Confederated Salish & Kootenai Tribes of the Flathead Reservation | Current | Accepting new patients | |
| Confederated Salish and Kootenai Tribes of the Flathead Reservation | Current | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba CSKT St. Ignatius Health Center Pharmacy
- Community/Retail Pharmacy
- St Ignatius, MT
- NPI 1669502316
-
- Federally Qualified Health Center (FQHC)
- St Ignatius, MT
- NPI 1952402208
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710374400000",
"number": "1346727468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 880",
"city": "ST. IGNATIUS",
"state": "MT",
"postal_code": "59865",
"telephone_number": "406-745-3525",
"fax_number": "406-745-3529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35401 MISSION DR",
"city": "SAINT IGNATIUS",
"state": "MT",
"postal_code": "598657791",
"telephone_number": "406-745-3525",
"fax_number": "406-745-3529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIFFITH",
"first_name": "SHAWN",
"middle_name": "MICHAEL",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-07-21",
"last_updated": "2024-03-14",
"certification_date": "2024-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MT",
"license": "DEN-DEN-LIC-15467",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Ignatius, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.