Active NPI
Griffin Creekmore
- Dentist
- Portsmouth, VA
National Provider Identifier
1962137018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN26876
- Practice address
- NMC Portsmouth, 620 John Paul Jones Circle
Portsmouth, VA 23708 - Phone
- (912) 580-7362
- NPI assigned
- Jul 22, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN26876 | FL | Primary |
Addresses
Primary practice location
NMC Portsmouth, 620 John Paul Jones Circle
Portsmouth, VA 23708
Mailing address
NMC Portsmouth, 620 John Paul Jones Circle
Portsmouth, VA 23708
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN26876 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696896000000",
"number": "1962137018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "NMC PORTSMOUTH, 620 JOHN PAUL JONES CIRCLE",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "23708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "NMC PORTSMOUTH, 620 JOHN PAUL JONES CIRCLE",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "23708",
"telephone_number": "912-580-7362"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CREEKMORE",
"first_name": "GRIFFIN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-07-22",
"last_updated": "2023-10-10",
"certification_date": "2023-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN26876",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portsmouth, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.