Active NPI
Ann L. Griffen, D.D.S.
- Pediatric Dentistry
- Columbus, OH
National Provider Identifier
1821175027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 30018578
- Practice address
- 305 W 12TH Ave
Dental Faculty Practice Association Inc.
Columbus, OH 43210-1267 - Phone
- (614) 292-1472
- NPI assigned
- Nov 1, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 30018578 | OH | Primary |
Addresses
Primary practice location
305 W 12TH Ave
Dental Faculty Practice Association Inc.
Columbus, OH 43210-1267
Mailing address
305 W 12TH Ave
P.O. Box 182357
Columbus, OH 43210-1267
Phone (614) 292-1150
Other practice location 1
380 Butterfly Gardens Dr
Columbus, OH 43215-7508
Phone (614) 722-5651
Other practice location 2
700 Childrens Dr
Columbus, OH 43205-2639
Phone (614) 722-5651
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810006213 | Medicaid | WV | |
| 0674088 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30018578 | OH | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665014400000",
"number": "1821175027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 W 12TH AVE",
"address_2": "P.O. BOX 182357",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432101267",
"telephone_number": "614-292-1150",
"fax_number": "614-292-1125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 W 12TH AVE",
"address_2": "DENTAL FACULTY PRACTICE ASSOCIATION INC.",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432101267",
"telephone_number": "614-292-1472"
}
],
"practiceLocations": [
{
"address_1": "380 Butterfly Gardens Dr",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432157508",
"country_code": "US",
"telephone_number": "614-722-5651",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "700 Childrens Dr",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432052639",
"country_code": "US",
"telephone_number": "614-722-5651",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRIFFEN",
"first_name": "ANN",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2022-10-06",
"certification_date": "2022-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "OH",
"license": "30018578",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810006213",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0674088",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.