Scott R Griffith, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN0014861 Issued in FL

Practice address

11839 Oak Trail Way
Port Richey, FL 34668-1038

Phone

(727) 862-3535

Fax

(727) 869-2747

NPI assigned

Oct 25, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jul 19, 2016 through Jul 19, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932284619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11839 OAK TRAIL WAY",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346681038",
            "telephone_number": "727-862-3535",
            "fax_number": "727-869-2747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11839 OAK TRAIL WAY",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346681038",
            "telephone_number": "727-862-3535",
            "fax_number": "727-869-2747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFITH",
        "first_name": "SCOTT",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN0014861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Alphonso Graddy, D.D.S
• Tanisha Nicole Grant
• Adam Scott Greenfield, DO
• Kim Lavell Grieder
• Bryan N Griffith, D.M.D.
• Erikah Groninger, MS, RDN
• Neko Gude, PA
• Gulf Coast Med Ctr Physical Therapy
• Gulf Coast Medical Center LLC
• Gulfside Health & Rehab Center LLC

• General Practice Dentistry in Port Richey, FL
• Providers in Port Richey, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.