Active NPI
Henry Gilman Griggs Jr., D.M.D.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Athens, AL
National Provider Identifier
1487853610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 5166
- Practice address
- 102 S Malone St
Athens, AL 35611-2474 - Phone
- (256) 216-1717
- Fax
- (256) 216-1771
- NPI assigned
- Jul 17, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 5166 | AL | Primary |
Addresses
Primary practice location
102 S Malone St
Athens, AL 35611-2474
Mailing address
102 S Malone St
Athens, AL 35611-2474
Phone (256) 216-1717
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5166 | AL | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207094400000",
"number": "1487853610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 S MALONE ST",
"city": "ATHENS",
"state": "AL",
"postal_code": "356112474",
"telephone_number": "256-216-1717",
"fax_number": "256-216-1771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 S MALONE ST",
"city": "ATHENS",
"state": "AL",
"postal_code": "356112474",
"telephone_number": "256-216-1717",
"fax_number": "256-216-1771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIGGS",
"first_name": "HENRY",
"middle_name": "GILMAN",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-17",
"last_updated": "2008-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "AL",
"license": "5166",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Athens, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.