Individual provider Active NPI

Leigh Griffin, DDS

  • Oral and Maxillofacial Pathology Dentistry
  • Richmond, VA
National Provider Identifier
1659801694
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X
License
0401419781 Issued in VA
Practice address
520 N 12TH St
Richmond, VA 23298-5064
Phone
(804) 828-1778
Fax
(804) 828-6234
NPI assigned
Jun 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Pathology Dentistry 1223P0106X DN123027 GA
Oral and Maxillofacial Pathology Dentistry 1223P0106X 6761 LA
Oral and Maxillofacial Pathology Dentistry 1223P0106X DN1859943 MA
Oral and Maxillofacial Pathology Dentistry 1223P0106X 0401419781 VA Primary

Addresses

Primary practice location

520 N 12TH St
Richmond, VA 23298-5064

Mailing address

520 N 12TH St
Richmond, VA 23298-5064
Phone (804) 828-1778

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230918000546 MA Practitioner - Oral and Maxillofacial PathologyPractitioner - Dentist 3476828963 Reassigns benefits to 1 organization
I20251229002538 VA Practitioner - Dentist 3476828963 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral and Maxillofacial PathologyAlso: Dentist
Education
Louisiana State University School of Dentistry, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trustees of Tufts CollegeGroup PAC ID 3779522628, 15 clinicians

Practice addresses (Care Compare)

1 Kneeland St
Boston, MA 02111-1527
Phone (617) 636-6828

200 Harrison Ave
2CD Floor
Boston, MA 02111-1527

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN123027GAMDOral and Maxillofacial Pathology Dentist
0401419781VAMDOral and Maxillofacial Pathology Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Trustees of Tufts College CurrentSince Aug 8, 2023 Accepting new patients
Trustees of Tufts College CurrentSince Aug 8, 2023 Accepting new patients
Vcu Diagnostic Services LLC Oral and Maxillofacial Pathology CurrentSince Nov 1, 2025 Accepting new patients

Locations

1 Kneeland St
Boston, MA 02111
Phone (617) 636-6515

1 Kneeland St
Fl 6
Boston, MA 02111
Phone (617) 636-3932

1 Kneeland St
Rm 646
Boston, MA 02111
Phone (617) 636-6510

520 N 12th St
Ste 315
Richmond, VA 23298
Phone (804) 828-1778

520 N 12th St
Richmond, VA 23298
Phone (804) 628-6637

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1497312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1659801694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 N 12TH ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232985064",
            "telephone_number": "804-828-1778",
            "fax_number": "804-828-6234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N 12TH ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232985064",
            "telephone_number": "804-828-1778",
            "fax_number": "804-828-6234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "LEIGH",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-13",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "GA",
            "license": "DN123027",
            "primary": false
        },
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "LA",
            "license": "6761",
            "primary": false
        },
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "MA",
            "license": "DN1859943",
            "primary": false
        },
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "VA",
            "license": "0401419781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.