Randall L. Griffith I, D.D.S.

Key facts

NPI

1992827489

Entity type

Individual (NPI type 1)

Primary specialty

General Practice Dentistry 1223G0001X

License

744 (WY)

Practice address

153 S Fenway St
Casper, WY 82601-2721

Phone

(307) 265-7337

Fax

(307) 265-7340

NPI assigned

Apr 4, 2007

Sex

Male

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992827489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 S FENWAY ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012721",
            "telephone_number": "307-265-7337",
            "fax_number": "307-265-7340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 S FENWAY ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012721",
            "telephone_number": "307-265-7337",
            "fax_number": "307-265-7340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFITH",
        "first_name": "RANDALL",
        "middle_name": "L.",
        "name_suffix": "I",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WY",
            "license": "744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

• Nicolette Marie Grening, PA-C
• Emily Byra Griesbach, PHARM.D.
• Tracy A. Griffee
• Kayla Raye Griffin
• Jenni L Griffith, PA-C
• Rebecca Griffith, R.N.
• Heather Ann Grigg, MOTR/L
• Debra Lee Griner, FNP-C
• Michelle Grissom, MS, LPC
• Maggie M Grooms, PHARM.D., R.PH.

All providers in Casper, WY · General Practice Dentistry in Wyoming