NPIMap

Organization Active NPI

Texas a&M University College of Dentistry

  • Periodontics
  • Dallas, TX
National Provider Identifier
1407391089
Registry record updated Jan 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
32453 Issued in TX
Legal business name
TEXAS A&M UNIVERSITY COLLEGE OF DENTISTRY
Practice address
3302 Gaston Ave
Dallas, TX 75246-2013
Phone
(214) 828-8100
NPI assigned
Jan 5, 2017
Last updated
Jan 5, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2017

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

Authorized official

Name
Dr. Garth Griffiths, D.D.S., SCM, MS
Title
Director of Graduate Periodontics
Phone
(214) 828-8154

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 32453 TX Primary

Addresses

Primary practice location

3302 Gaston Ave
Dallas, TX 75246-2013

Mailing address

4929 Seneca Dr
Dallas, TX 75209-2217

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1483574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483574400000",
    "number": "1407391089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4929 SENECA DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752092217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3302 GASTON AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752462013",
            "telephone_number": "214-828-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS A&M UNIVERSITY COLLEGE OF DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-05",
        "last_updated": "2017-01-05",
        "status": "A",
        "authorized_official_last_name": "GRIFFITHS",
        "authorized_official_first_name": "GARTH",
        "authorized_official_title_or_position": "DIRECTOR OF GRADUATE PERIODONTICS",
        "authorized_official_telephone_number": "214-828-8154",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., SCM, MS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "32453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.