NPIMap

Organization Active NPI

Stephen R. Griffith, D.M.D., PLLC.

Doing business as Grand Corner Dental

  • Dental Clinic/Center
  • Spokane, WA
National Provider Identifier
1528211828
Registry record updated Jan 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
5139 Issued in WA
Legal business name
STEPHEN R. GRIFFITH, D.M.D., PLLC.
Doing business as
Grand Corner Dental
Practice address
3707 S Grand Blvd
Ste B
Spokane, WA 99203-2712
Phone
(509) 838-2434
Fax
(509) 623-1548
NPI assigned
Oct 30, 2008
Last updated
Jan 9, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2020

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

Authorized official

Name
Stephen Griffith, DMDNPI 1669834859
Title
Sole Member Dentist
Phone
(206) 735-9151

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 5139 WA Primary

Addresses

Primary practice location

3707 S Grand Blvd
Ste B
Spokane, WA 99203-2712

Mailing address

3707 S Grand Blvd
Ste B
Spokane, WA 99203-2712
Phone (509) 838-2434

Other identifiers 1

IdentifierTypeStateIssuer
5052477MedicaidWA

Other names 1

  • Grand Corner Dental Doing business as

National Provider Directory

National Provider Directory

Locations

3707 S Grand Blvd
Ste B
Spokane, WA 99203
Phone (509) 838-2434

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1225324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578528000000",
    "number": "1528211828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3707 S GRAND BLVD",
            "address_2": "STE B",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992032712",
            "telephone_number": "509-838-2434",
            "fax_number": "509-623-1548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3707 S GRAND BLVD",
            "address_2": "STE B",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992032712",
            "telephone_number": "509-838-2434",
            "fax_number": "509-623-1548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN R. GRIFFITH, D.M.D., PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-30",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A",
        "authorized_official_last_name": "GRIFFITH",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "SOLE MEMBER DENTIST",
        "authorized_official_telephone_number": "206-735-9151",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "5139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5052477",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grand Corner Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Grand Corner Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2020; 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.