Active NPI
Natalie Victoria Griffin, D.S.S
- Dentist
- Austin, TX
National Provider Identifier
1609030071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 24028
- Practice address
- 14900 Avery Ranch Blvd
C-100
Austin, TX 78717-3951 - Phone
- (512) 246-7645
- NPI assigned
- Jul 15, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 24028 | TX | Primary |
Addresses
Primary practice location
14900 Avery Ranch Blvd
C-100
Austin, TX 78717-3951
Mailing address
14900 Avery Ranch Blvd
C-100
Austin, TX 78717-3951
Phone (512) 246-7645
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24028 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avery Ranch Family & Cosmetic Dentistry, P.a. | Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Austin, TX
- NPI 1114068996
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216080000000",
"number": "1609030071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14900 AVERY RANCH BLVD",
"address_2": "C-100",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787173951",
"telephone_number": "512-246-7645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14900 AVERY RANCH BLVD",
"address_2": "C-100",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787173951",
"telephone_number": "512-246-7645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIFFIN",
"first_name": "NATALIE",
"middle_name": "VICTORIA",
"name_prefix": "Dr.",
"credential": "D.S.S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-15",
"last_updated": "2008-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "24028",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.