Johnny M Griffin, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3420 Issued in AL

Practice address

1401 I 85 Parkway
Suite D
Montgomery, AL 36106-2833

Phone

(334) 274-9861

Fax

(334) 274-9863

NPI assigned

Sep 20, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Johnny M. Griffin DDS PC

  • General Practice Dentistry
  • Montgomery, AL
  • NPI 1275872426
  NPD (past) Authorized official

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355788800000",
    "number": "1982701348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 I 85 PARKWAY",
            "address_2": "SUITE D",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361062833",
            "telephone_number": "334-274-9861",
            "fax_number": "334-274-9863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 I 85 PARKWAY",
            "address_2": "SUITE D",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361062833",
            "telephone_number": "334-274-9861",
            "fax_number": "334-274-9863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "JOHNNY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2012-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "3420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009901290",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ezekiel J Griffin, OT/L
• Fenes M Griffin
• Jacob Griffin, DDS
• Janice Griffin, MS, CCC-SLP
• Jessica Griffin, CRNA
• Laura A. Griffin, CRNA
• Nicole Coats Griffin, C.R.N.A.
• Sandra Sue Griffin, MSW
• Kareem Julien Earl Griffith, PHARMD
• Vickie Lynn Griffith, CRNP

• General Practice Dentistry in Montgomery, AL
• Providers in Montgomery, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.