Brandon R. Griffin, DDS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

00203511 Issued in CO

Practice address

1903 Wilmington Dr Unit 101
Fort Collins, CO 80528

Phone

(970) 568-5255

Fax

(970) 568-5256

NPI assigned

Apr 3, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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

Locations

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.

• Endodontics of the Rockies, LLC

  • Endodontics
  • Fort Collins, CO
  • NPI 1164918611
  NPD Authorized official
• Arete Dental LLC

  • General Practice Dentistry
  • Reno, NV
  • NPI 1235556770
  NPD (past)
• Stead Dental Clinic

  • General Practice Dentistry
  • Reno, NV
  • NPI 1952372708
  NPD (past)

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

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536883200000",
    "number": "1801139324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1903 WILMINGTON DR UNIT 101",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805286100",
            "telephone_number": "970-568-5255",
            "fax_number": "970-568-5256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 WILMINGTON DR UNIT 101",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "80528",
            "telephone_number": "970-568-5255",
            "fax_number": "970-568-5256"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1055 N Hills Blvd.",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "89506",
            "country_code": "US",
            "telephone_number": "775-677-1055",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2996 Ginnala Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Loveland",
            "state": "CO",
            "postal_code": "805382832",
            "country_code": "US",
            "telephone_number": "970-292-6703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "BRANDON",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-03",
        "last_updated": "2018-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "6664",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "UT",
            "license": null,
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CO",
            "license": "00203511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joy Marie Gribble, LCSW, DMIN
• Emily Grieb, OTR/L
• Ryan D Griesbach, MD
• Ashley Harper Griffin, LMT
• Beverly Jo Griffin, AU.D.
• John Dale Griffin, DPT
• Camille Griffith, RBT
• Constance Cappas Griffith, PH.D.
• Delaney Julia Marie Griffith, LPCC
• Heather Colleen Griffith, LCSW

• Endodontics in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Endodontics in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2018; 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.