Organization Active NPI

Ronald a. Griffin, DDS, LLC

Doing business as Chillicothe Pediatric Dentistry

  • Pediatric Dentistry
  • Chillicothe, OH
National Provider Identifier
1588825673
Registry record updated Jul 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
3021161 Issued in OH
Legal business name
RONALD A. GRIFFIN, DDS, LLC
Doing business as
Chillicothe Pediatric Dentistry
Practice address
1140 Western Ave
Chillicothe, OH 45601-1174
Phone
(740) 773-8320
Fax
(740) 773-8321
NPI assigned
Jun 20, 2008
Last updated
Jul 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2008

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

Authorized official

Name
Dr. Ronald A Griffin, DDS
Title
Owner/President
Phone
(740) 773-8320

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 3021161 OH Primary

Addresses

Primary practice location

1140 Western Ave
Chillicothe, OH 45601-1174

Mailing address

1140 Western Ave
Chillicothe, OH 45601-1174
Phone (740) 773-8320

Other identifiers 1

IdentifierTypeStateIssuer
2900098MedicaidOH

Other names 1

  • Chillicothe Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

1140 Western Ave
Chillicothe, OH 45601
Phone (740) 773-8320

Practitioners & affiliated clinicians

Practitioners 3

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": "1213920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216166400000",
    "number": "1588825673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 WESTERN AVE",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456011174",
            "telephone_number": "740-773-8320",
            "fax_number": "740-773-8321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 WESTERN AVE",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456011174",
            "telephone_number": "740-773-8320",
            "fax_number": "740-773-8321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD A. GRIFFIN, DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-20",
        "last_updated": "2008-07-16",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "740-773-8320",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OH",
            "license": "3021161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2900098",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chillicothe Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chillicothe, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; 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.