Individual provider Active NPI

Thomas J Griffin II, D.D.S., M.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Broken Arrow, OK
National Provider Identifier
1437413051
Registry record updated Aug 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
6316 Issued in OK
Practice address
3308 S Elm PL
Broken Arrow, OK 74011-4356
Phone
(918) 455-0976
NPI assigned
Jun 28, 2012
Last updated
Aug 6, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 6316 OK Primary

Addresses

Primary practice location

3308 S Elm PL
Broken Arrow, OK 74011-4356

Mailing address

1201 N Stonewall Ave
Room 543
Oklahoma City, OK 73117-1214
Phone (405) 271-4148

Other practice location 1

1201 N Stonewall Ave
Room 543
Oklahoma City, OK 73117-1214
Phone (405) 271-4148 ext. 33269

Other practice location 2

3200 S Elm Pl Ste 110
Broken Arrow, OK 74012
Phone (918) 455-0976

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.drgriffinortho.com Direct

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
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1340841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628208000000",
    "number": "1437413051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 N STONEWALL AVE",
            "address_2": "ROOM 543",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731171214",
            "telephone_number": "405-271-4148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3308 S ELM PL",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740114356",
            "telephone_number": "918-455-0976"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 N Stonewall Ave",
            "address_2": "Room 543",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731171214",
            "country_code": "US",
            "telephone_number": "405-271-4148 x33269",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3200 S Elm Pl Ste 110",
            "address_purpose": "LOCATION",
            "city": "Broken Arrow",
            "state": "OK",
            "postal_code": "74012",
            "country_code": "US",
            "telephone_number": "918-455-0976",
            "fax_number": "918-455-0576",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "THOMAS",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-28",
        "last_updated": "2021-08-06",
        "certification_date": "2021-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OK",
            "license": "6316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.drgriffinortho.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3308 S Elm Pl",
            "city": "Broken Arrow",
            "state": "OK",
            "country_code": "US",
            "postal_code": "740114356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Broken Arrow, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2021; 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.