Individual provider Active NPI

Dane Thomas Griggs, D.D.S.

  • Dentist
  • Torrington, WY
National Provider Identifier
1851773246
Registry record updated Jun 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
1421 Issued in WY
Practice address
241 E 21St Ave
Torrington, WY 82240-2848
Phone
(307) 532-3227
Fax
(307) 532-3744
NPI assigned
Jun 23, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 1421 WY Primary

Addresses

Primary practice location

241 E 21St Ave
Torrington, WY 82240-2848

Mailing address

241 E 21St Ave
Torrington, WY 82240-2848
Phone (307) 532-3227

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160125002011 WY Order and Referring Only - DentistPractitioner - Dentist 3870896814

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1421WYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Griggs Family Dental LLC Dentist Past Accepting new patients
Griggs Family Dental Dentist Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1435017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435017600000",
    "number": "1851773246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 E 21ST AVE",
            "city": "TORRINGTON",
            "state": "WY",
            "postal_code": "822402848",
            "telephone_number": "307-532-3227",
            "fax_number": "307-532-3744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 E 21ST AVE",
            "city": "TORRINGTON",
            "state": "WY",
            "postal_code": "822402848",
            "telephone_number": "307-532-3227",
            "fax_number": "307-532-3744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIGGS",
        "first_name": "DANE",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-23",
        "last_updated": "2015-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WY",
            "license": "1421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrington, WY

Sources for this page

Verify at the official NPI Registry.