Active NPI
Alec S Griffin, DDS
- Dentist
- West Valley, UT
National Provider Identifier
1992188932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 94359418903
- Practice address
- 3060 S Redwood Rd
West Valley, UT 84119-3058 - Phone
- (801) 972-0555
- NPI assigned
- Jul 8, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 94359419922 | UT | |
| Dentist | 122300000X | 94359418903 | UT | Primary |
Addresses
Primary practice location
3060 S Redwood Rd
West Valley, UT 84119-3058
Mailing address
3060 S Redwood Rd
West Valley, UT 84119-3058
Phone (801) 972-0555
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 |
|---|---|---|---|
| 94359418903 | UT | MD | Dentist |
| 94359419922 | UT | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tooth Doctor - WVC PLLC | Dentist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dentist
- West Valley City, UT
- NPI 1780198564
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436313600000",
"number": "1992188932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3060 S REDWOOD RD",
"city": "WEST VALLEY",
"state": "UT",
"postal_code": "841193058",
"telephone_number": "801-972-0555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3060 S REDWOOD RD",
"city": "WEST VALLEY",
"state": "UT",
"postal_code": "841193058",
"telephone_number": "801-972-0555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIFFIN",
"first_name": "ALEC",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-08",
"last_updated": "2015-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "UT",
"license": "94359419922",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "UT",
"license": "94359418903",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Valley, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.