Organization Active NPI

Bradley S Griffin, DDS

  • Dentist
  • Batesville, AR
National Provider Identifier
1801487848
Registry record updated Feb 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
BRADLEY S GRIFFIN, DDS
Practice address
311 Eagle Mountain Blvd
Batesville, AR 72501-4228
Phone
(187) 079-3373
Fax
(870) 793-3730
NPI assigned
Feb 2, 2021
Last updated
Feb 2, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2021

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

Authorized official

Name
Dr. Bradley S Griffin, DDSNPI 1073616298
Title
Owner
Phone
(870) 793-3730

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X Primary

Addresses

Primary practice location

311 Eagle Mountain Blvd
Batesville, AR 72501-4228

Mailing address

311 Eagle Mountain Blvd
Batesville, AR 72501-4228
Phone (870) 793-3730

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL bradleysgriffin@gmail.com Direct

National Provider Directory

National Provider Directory

Locations

311 Eagle Mountain Blvd
Batesville, AR 72501
Phone (870) 793-3730

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1612224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612224000000",
    "number": "1801487848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 EAGLE MOUNTAIN BLVD",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725014228",
            "telephone_number": "870-793-3730",
            "fax_number": "870-698-8956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 EAGLE MOUNTAIN BLVD",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725014228",
            "telephone_number": "187-079-3373",
            "fax_number": "870-793-3730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY S GRIFFIN, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-02",
        "last_updated": "2021-02-02",
        "certification_date": "2021-01-18",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-793-3730",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "bradleysgriffin@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "311 Eagle Mountain Blvd",
            "city": "Batesville",
            "state": "AR",
            "country_code": "US",
            "postal_code": "725014228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Batesville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.