Individual provider Active NPI

Barbra Gayle Griffin, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Killeen, TX
National Provider Identifier
1851582480
Registry record updated Jan 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
23513 Issued in TX
Practice address
2408 Clear Creek Road
Suite 201
Killeen, TX 76549-2185
Phone
(254) 213-2170
Fax
(254) 213-2190
NPI assigned
Aug 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 23513 TX Primary

Addresses

Primary practice location

2408 Clear Creek Road
Suite 201
Killeen, TX 76549-2185

Mailing address

2408 Clear Creek Road
Suite 201
Killeen, TX 76549-2185
Phone (254) 213-2170

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160119000679 TX Order and Referring Only - Maxillofacial SurgeryPractitioner - Maxillofacial Surgery 5991887390

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
B G G Oral Surgery PastSince Aug 24, 2007 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326931200000",
    "number": "1851582480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2408 CLEAR CREEK ROAD",
            "address_2": "SUITE 201",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765492185",
            "telephone_number": "254-213-2170",
            "fax_number": "254-213-2190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2408 CLEAR CREEK ROAD",
            "address_2": "SUITE 201",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765492185",
            "telephone_number": "254-213-2170",
            "fax_number": "254-213-2190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "BARBRA",
        "middle_name": "GAYLE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-08",
        "last_updated": "2012-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "23513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Killeen, TX

Sources for this page

Verify at the official NPI Registry.