Kenneth Charles Griffith, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

44316 Issued in CA

Practice address

9401 Wilshire Blvd
Suite 1140
Beverly Hills, CA 90212-2928

Phone

(310) 276-1983

NPI assigned

May 2, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538381645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3468 BUENA VISTA AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081505",
            "telephone_number": "818-957-7332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9401 WILSHIRE BLVD",
            "address_2": "SUITE 1140",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902122928",
            "telephone_number": "310-276-1983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFITH",
        "first_name": "KENNETH",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "44316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Navanjun Singh Grewal, M.D.
• Barbara Joan Greyhosky, LICENSED MARRIAGE AN
• Anthony Charles Griffin, MD
• Jonathan Edward Griffin
• Kaelyn Griffin
• Daniel Grindeman, LMFT
• Paul John Grodan, M.D.
• Deborah Groening, LMFT
• Elizabeth Betsy Gross, PHARM.D
• Jill De Jong Gross, MFT

• General Practice Dentistry in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.