Active NPI
James Bernard Griffin, DDS
- Dentist
- Washington, DC
National Provider Identifier
1699853903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- OEN5533
- Practice address
- 1160 Varnum St NE
Providence Hospital Suite 006
Washington, DC 20017 - Phone
- (202) 269-7103
- Fax
- (202) 635-7145
- NPI assigned
- Nov 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | OEN5533 | DC | Primary |
| Dentist | 122300000X | 11773 | MD |
Addresses
Primary practice location
1160 Varnum St NE
Providence Hospital Suite 006
Washington, DC 20017
Mailing address
1160 Varnum St NE
Providence Hospital Suite 006
Washington, DC 20017
Phone (202) 269-7103
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 |
|---|---|---|---|
| 11773 | MD | MD | Clinical Social Worker |
| OEN5533 | DC | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1699853903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1160 VARNUM ST NE",
"address_2": "PROVIDENCE HOSPITAL SUITE 006",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20017",
"telephone_number": "202-269-7103",
"fax_number": "202-635-7145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1160 VARNUM ST NE",
"address_2": "PROVIDENCE HOSPITAL SUITE 006",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20017",
"telephone_number": "202-269-7103",
"fax_number": "202-635-7145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIFFIN",
"first_name": "JAMES",
"middle_name": "BERNARD",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "DC",
"license": "OEN5533",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "11773",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.