Bryan Alan Griffith, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6784 Issued in KY

Practice address

306 Wrights LN
Prestonsburg, KY 41653-1702

Phone

(606) 874-9311

Fax

(606) 874-9828

NPI assigned

Oct 2, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

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 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Bryan a. Griffith, DMD, PSC

  • Dentist
  • Prestonsburg, KY
  • NPI 1104239094
  NPD (past) Authorized official

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730272568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 WRIGHTS LN",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "416531702",
            "telephone_number": "606-874-9311",
            "fax_number": "606-874-9828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 WRIGHTS LN",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "416531702",
            "telephone_number": "606-874-9311",
            "fax_number": "606-874-9828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFITH",
        "first_name": "BRYAN",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "6784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60067840",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaitlin Greer
• Sherrie Grierson
• Lindsey Griffieth
• Latasha Griffin
• Brandy Griffith
• Melissa Griffith, MHA
• Amanda Griffiths
• Kristie Griggs
• Rachel Griggs
• Alison Grigsby

• General Practice Dentistry in Prestonsburg, KY
• Providers in Prestonsburg, KY by specialty
• General Practice Dentistry in Kentucky

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.