Individual provider Active NPI

Christiana Ann Griswold, DDS

  • General Practice Dentistry
  • Pinckney, MI
National Provider Identifier
1376955385
Registry record updated May 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901021217 Issued in MI
Practice address
10101 Margaret Dr
Pinckney, MI 48169-8627
Phone
(269) 271-4621
NPI assigned
May 24, 2014
Last updated
May 24, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901021217 MI Primary

Addresses

Primary practice location

10101 Margaret Dr
Pinckney, MI 48169-8627

Mailing address

10101 Margaret Dr
Pinckney, MI 48169-8627
Phone (269) 271-4621

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20160602000939 MI Order and Referring Only - DentistPractitioner - Dentist 5799075826

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Griswold Family Dentistry PLC Current Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1400889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400889600000",
    "number": "1376955385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10101 MARGARET DR",
            "city": "PINCKNEY",
            "state": "MI",
            "postal_code": "481698627",
            "telephone_number": "269-271-4621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10101 MARGARET DR",
            "city": "PINCKNEY",
            "state": "MI",
            "postal_code": "481698627",
            "telephone_number": "269-271-4621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRISWOLD",
        "first_name": "CHRISTIANA",
        "middle_name": "ANN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-24",
        "last_updated": "2014-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901021217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinckney, MI

Sources for this page

Verify at the official NPI Registry.