Organization Active NPI

Mark B. Griffiths, DDS, a Professional Dental Corporation

  • General Practice Dentistry
  • San Diego, CA
National Provider Identifier
1841527199
Registry record updated Nov 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
41917 Issued in CA
Legal business name
MARK B. GRIFFITHS, DDS, A PROFESSIONAL DENTAL CORPORATION
Practice address
3565 4TH Ave
San Diego, CA 92103-4912
Phone
(619) 298-6257
Fax
(619) 296-6257
NPI assigned
Nov 6, 2009
Last updated
Nov 6, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2009

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

Authorized official

Name
Dr. Mark Griffiths, DDSNPI 1386865301
Title
President
Phone
(619) 298-6257

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
General Practice Dentistry 1223G0001X 41917 CA Primary

Addresses

Primary practice location

3565 4TH Ave
San Diego, CA 92103-4912

Mailing address

3565 4TH Ave
San Diego, CA 92103-4912
Phone (619) 298-6257

National Provider Directory

National Provider Directory

Locations

3565 4th Ave
San Diego, CA 92103
Phone (619) 298-6257

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": "1257465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257465600000",
    "number": "1841527199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3565 4TH AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921034912",
            "telephone_number": "619-298-6257",
            "fax_number": "619-296-6257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3565 4TH AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921034912",
            "telephone_number": "619-298-6257",
            "fax_number": "619-296-6257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK B. GRIFFITHS, DDS, A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-06",
        "last_updated": "2009-11-06",
        "status": "A",
        "authorized_official_last_name": "GRIFFITHS",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-298-6257",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "41917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2009; 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.