Organization Active NPI

Griffitts Facial and Oral Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Coeur d'Alene, ID
National Provider Identifier
1528467925
Registry record updated Aug 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
D4563-OS Issued in ID
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, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2014

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

Authorized official

Name
Dr. Trevor Griffitts, DMDNPI 1609191253
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.