Active NPI
Griffitts Facial and Oral Surgery
- Oral and Maxillofacial Surgery (Dentist)
- Coeur d'Alene, ID
National Provider Identifier
1528467925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- D4563-OS
- Legal business name
- GRIFFITTS FACIAL AND ORAL SURGERY
- Practice address
- 511 W Hanley Ave
Suite C
Coeur D Alene, ID 83815-8995 - Phone
- (208) 667-0824
- Fax
- (208) 667-1216
- NPI assigned
- Aug 21, 2014
- Last updated
- Aug 21, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Trevor Griffitts, DMD
- Title
- Oral and Maxillofacial Surgeon
- Phone
- (208) 667-0824
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | D4563-OS | ID | Primary |
Addresses
Primary practice location
511 W Hanley Ave
Suite C
Coeur D Alene, ID 83815-8995
Mailing address
511 W Hanley Ave
Suite C
Coeur D Alene, ID 83815-8995
Phone (208) 667-0824
National Provider Directory
National Provider DirectoryLocations
511 W Hanley Ave
Ste C
Coeur D Alene, ID 83815
Phone (208) 667-0824
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Oral and Maxillofacial Surgery (Dentist)
- Hayden, ID
- NPI 1609191253
-
- Oral and Maxillofacial Surgery (Dentist)
- Coeur d'Alene, ID
- NPI 1699851964
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408579200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1408579200000",
"number": "1528467925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "511 W HANLEY AVE",
"address_2": "SUITE C",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838158995",
"telephone_number": "208-667-0824",
"fax_number": "208-667-1216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 W HANLEY AVE",
"address_2": "SUITE C",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838158995",
"telephone_number": "208-667-0824",
"fax_number": "208-667-1216"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRIFFITTS FACIAL AND ORAL SURGERY",
"organizational_subpart": "NO",
"enumeration_date": "2014-08-21",
"last_updated": "2014-08-21",
"status": "A",
"authorized_official_last_name": "GRIFFITTS",
"authorized_official_first_name": "TREVOR",
"authorized_official_title_or_position": "ORAL AND MAXILLOFACIAL SURGEON",
"authorized_official_telephone_number": "208-667-0824",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "ID",
"license": "D4563-OS",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coeur d'Alene, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.