Active NPI
Ina Laurie Griffin, DMD
- Dentist
- Baltimore, MD
National Provider Identifier
1609941178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 17079
- Practice address
- 650 W Baltimore St
Baltimore, MD 21201 - Phone
- (401) 706-7547
- NPI assigned
- Nov 21, 2006
- Last updated
- Nov 14, 2019
- 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 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 23852 | FL | |
| Dentist | 122300000X | 1928-81 | MS | |
| Dentist | 122300000X | 4675 | LA | |
| Dentist | 122300000X | 013262 | GA | |
| Dentist | 122300000X | 17079 | MD | Primary |
| Endodontics | 1223E0200X | 084-84 | MS | |
| Endodontics | 1223E0200X | 4675 | LA | |
| Endodontics | 1223E0200X | DN23852 | FL |
Addresses
Primary practice location
650 W Baltimore St
Baltimore, MD 21201
Mailing address
121 S Fremont Ave Apt 408
Baltimore, MD 21201-0601
Phone (985) 630-1418
Other practice location 1
3200 S University Dr
Davie, FL 33328-2018
Phone (954) 262-1757
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 |
|---|---|---|---|
| 23852 | FL | MD | Dentist |
| 4675 | LA | MD | Dentist |
| 1928-81 | MS | MD | Dentist |
| DN23852 | FL | MD | Endodontist |
| 084-84 | MS | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573689600000",
"number": "1609941178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 S FREMONT AVE APT 408",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212010601",
"telephone_number": "985-630-1418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 W BALTIMORE ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21201",
"telephone_number": "401-706-7547"
}
],
"practiceLocations": [
{
"address_1": "3200 S University Dr",
"address_purpose": "LOCATION",
"city": "Davie",
"state": "FL",
"postal_code": "333282018",
"country_code": "US",
"telephone_number": "954-262-1757",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRIFFIN",
"first_name": "INA",
"middle_name": "LAURIE",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-21",
"last_updated": "2019-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "23852",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MS",
"license": "1928-81",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "LA",
"license": "4675",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "013262",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "17079",
"primary": true
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "MS",
"license": "084-84",
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "LA",
"license": "4675",
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "FL",
"license": "DN23852",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.