Active NPI
Ifetayo A Griffith, DMD
- Dentist
- Houston, TX
National Provider Identifier
1720359383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 21156
- Practice address
- 8313 Southwest Fwy Ste 177
Houston, TX 77074-1612 - Phone
- (713) 523-1666
- Fax
- (713) 523-8940
- NPI assigned
- Jan 13, 2012
- Last updated
- Aug 31, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 21156 | TX | |
| Dentist | 122300000X | 21156 | TX | Primary |
Addresses
Primary practice location
8313 Southwest Fwy Ste 177
Houston, TX 77074-1612
Mailing address
PO Box 3000
Salem, OR 97302-8001
Phone (713) 523-1666
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161005000735 | TX | Order and Referring Only - Oral Surgery | 1456649557 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Griffith Dental Associates | Dentist | Current | Accepting new patients |
Locations
1213 Hermann Dr
Ste 840
Houston, TX 77004
8313 Southwest Fwy
Ste 177
Houston, TX 77074
Phone (713) 523-1666
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Houston, TX
- NPI 1154424265
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630368000000",
"number": "1720359383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3000",
"city": "SALEM",
"state": "OR",
"postal_code": "973028001",
"telephone_number": "713-523-1666",
"fax_number": "713-523-8940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8313 SOUTHWEST FWY STE 177",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770741612",
"telephone_number": "713-523-1666",
"fax_number": "713-523-8940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIFFITH",
"first_name": "IFETAYO",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-01-13",
"last_updated": "2021-08-31",
"certification_date": "2021-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "21156",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "21156",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.