Tyler Griffin, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

37337 Issued in TX

Practice address

5 Eureka Cir Ste a
Wichita Falls, TX 76308-2900

Phone

(940) 691-6066

NPI assigned

Jul 26, 2021

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dentist

Education

University of Oklahoma College of Dentistry, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Griffin Dental PLLC Dba Griffin Dental

  • Dental Clinic/Center
  • Marshall, TX
  • NPI 1932091717
  Medicare reassignment NPD Authorized official
• Burross Jackson Ratzlaff DDS

  • General Practice Dentistry
  • Wichita Falls, TX
  • NPI 1821255779
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1627257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1376216598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3052 N EASTMAN RD # SITE108",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756055005",
            "telephone_number": "903-663-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 EUREKA CIR STE A",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763082900",
            "telephone_number": "940-691-6066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-26",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "37337",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "37337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NOT APPLICABLE",
            "identifier": "000000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashlee Nicole Gresham, MD
• Denise Marie Gresham
• Justin Gribble
• Gayle Griffin, LPT
• Gloria W Griffin, RN
• Kelsey Griffith, MS, LMFT
• Shari Griffiths, LPC
• Grill Repair PA
• Gary James Grimes, DDS
• Jeffrey Scott Grimes, NP-C

• Dentist in Wichita Falls, TX
• Providers in Wichita Falls, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.