Individual provider Active NPI

Ryan Thomas Griffith, DMD

  • General Practice Dentistry
  • Raleigh, NC
National Provider Identifier
1821401852
Registry record updated Dec 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11342 Issued in NC
Practice address
615 Saint Marys St
Raleigh, NC 27605-1703
Phone
(919) 755-3450
NPI assigned
Jun 6, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 11342 NC Primary
General Practice Dentistry 1223G0001X DGD.8369 GD SC

Addresses

Primary practice location

615 Saint Marys St
Raleigh, NC 27605-1703

Mailing address

615 Saint Marys St
Raleigh, NC 27605-1703
Phone (919) 755-3450

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

LicenseStateTypeSpecialty
11342NCMDGeneral Practice Dentistry
DGD.8369 GDSCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ryan T. Griffith, DMD, PA CurrentSince Dec 27, 2020 Accepting new patients
Morrison and Lloyd General Practice PastSince Dec 27, 2020 Accepting new patients

Locations

615 Saint Marys St
Raleigh, NC 27605
Phone (919) 755-3450

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1402012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1821401852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 SAINT MARYS ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276051703",
            "telephone_number": "919-755-3450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 SAINT MARYS ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276051703",
            "telephone_number": "919-755-3450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFITH",
        "first_name": "RYAN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-06",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "11342",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "DGD.8369 GD",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; 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.