Active NPI
Edward Lear Griffin
- General Practice Dentistry
- Harrisburg, NC
National Provider Identifier
1508549437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 13417
- Practice address
- 4291 School House CMNS
Harrisburg, NC 28075-7503 - Phone
- (704) 456-9611
- NPI assigned
- Aug 8, 2023
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 13417 | NC | Primary |
Addresses
Primary practice location
4291 School House CMNS
Harrisburg, NC 28075-7503
Mailing address
3960 Shider LN
Kannapolis, NC 28081
Phone (704) 773-9383
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 |
|---|---|---|---|
| 13417 | NC | MD | Hand Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691452800000",
"number": "1508549437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3960 SHIDER LN",
"city": "KANNAPOLIS",
"state": "NC",
"postal_code": "28081",
"telephone_number": "704-773-9383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4291 SCHOOL HOUSE CMNS",
"city": "HARRISBURG",
"state": "NC",
"postal_code": "280757503",
"telephone_number": "704-456-9611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIFFIN",
"first_name": "EDWARD",
"middle_name": "LEAR",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-08-08",
"last_updated": "2023-08-08",
"certification_date": "2023-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "13417",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Harrisburg, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.