Individual provider Active NPI

Robert Griffeth, DMD

  • Dentist
  • Charleston, SC
National Provider Identifier
1972340685
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
10882 Issued in SC
Practice address
8 Ipswich CT Apt B
Charleston, SC 29403-7003
Phone
(706) 870-6118
NPI assigned
Jul 10, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 10882 SC Primary

Addresses

Primary practice location

8 Ipswich CT Apt B
Charleston, SC 29403-7003

Mailing address

8 Ipswich CT Apt B
Charleston, SC 29403-7003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20241023004737 SC Order and Referring Only - DentistPractitioner - Dentist 7517490931

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1720569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1972340685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 IPSWICH CT APT B",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294037003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 IPSWICH CT APT B",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294037003",
            "telephone_number": "706-870-6118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFETH",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-10",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "10882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.