Individual provider Active NPI

James Lawson Griffith, DDS

  • General Practice Dentistry
  • Lawrenceville, GA
National Provider Identifier
1407907025
Registry record updated Mar 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN011545 Issued in GA
Practice address
2100 Riverside Pkwy
Suite 130
Lawrenceville, GA 30043-5927
Phone
(770) 822-3400
Fax
(770) 995-5772
NPI assigned
Jan 12, 2007
Last updated
Mar 14, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 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 DN011545 GA Primary

Addresses

Primary practice location

2100 Riverside Pkwy
Suite 130
Lawrenceville, GA 30043-5927

Mailing address

2100 Riverside Pkwy
Suite 130
Lawrenceville, GA 30043-5927
Phone (770) 822-3400

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

LicenseStateTypeSpecialty
DN011545GAMDGeneral Practice Dentistry

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": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394755200000",
    "number": "1407907025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 RIVERSIDE PKWY",
            "address_2": "SUITE 130",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300435927",
            "telephone_number": "770-822-3400",
            "fax_number": "770-995-5772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 RIVERSIDE PKWY",
            "address_2": "SUITE 130",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300435927",
            "telephone_number": "770-822-3400",
            "fax_number": "770-995-5772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFITH",
        "first_name": "JAMES",
        "middle_name": "LAWSON",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2014-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN011545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2014; 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.