Tara M Griffin, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN20948 Issued in FL

Practice address

402 43Rd St W Ste a
Bradenton, FL 34209-2953

Phone

(941) 757-4642

Fax

(941) 896-3130

NPI assigned

May 1, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1487875431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 43RD ST W STE A",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342092953",
            "telephone_number": "941-757-4642",
            "fax_number": "941-896-3130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 43RD ST W STE A",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342092953",
            "telephone_number": "941-757-4642",
            "fax_number": "941-896-3130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "TARA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019024733",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN20948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1487875431",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marc Paul Grenier, M.D.
• Jeffrey Gretz, MD
• Maritza Yazmin Grey, OD
• Josette A Grice, MD
• Rachel Griffin
• Brenda Lee Grimaldi, PT
• Daniel William Grimaldi, PHARMD
• Crystal D Grindstaff, PTA
• Amy A Griswold, MD
• Brandie Nichole Grolemund, RPHT

• All providers in Bradenton, FL
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.