David Griffin

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

4270 Issued in WI

Practice address

1407 N Wright Rd
Janesville, WI 53546-1314

Phone

(608) 755-1625

Fax

(608) 755-1796

NPI assigned

Feb 6, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Deerwood Orthodontics, LLC

  dba Deerwood Orthodontics Janesville

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Janesville, WI
  • NPI 1376673533
  NPD (past)
• Wisconsin Dental Group, S.C.

  dba ForwardDental Janesville

  • General Practice Dentistry
  • Janesville, WI
  • NPI 1023148681
  NPD (past)

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821138454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 N WRIGHT RD",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535461314",
            "telephone_number": "608-755-1625",
            "fax_number": "608-755-1796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 N WRIGHT RD",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535461314",
            "telephone_number": "608-755-1625",
            "fax_number": "608-755-1796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WI",
            "license": "4270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wesley D Green, CRNA
• Amanda L Greene
• Zachary Gregerson, D.D.S.
• Gregg R Dickinson DDS SC (Janesville Pediatric Dental Care)
• Rebecca E Greving, DDS
• Malory Jo Groen, DMD
• Sydney Grossman
• Kelsey Grove, CEP
• Kristopher Grove, LMT
• Tracy Grover, PTA

• Orthodontics and Dentofacial Orthopedics Dentistry in Janesville, WI
• Providers in Janesville, WI by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Wisconsin

• 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.

Verify at the official NPI Registry.