1184806937 NPI number — DRS. GRIFFIN & ERRERA ORTHODONTICS, PC

Table of content: (NPI 1184806937)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1184806937 NPI number — DRS. GRIFFIN & ERRERA ORTHODONTICS, PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DRS. GRIFFIN & ERRERA ORTHODONTICS, PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1184806937
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/28/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
179 BROADVIEW AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WARRENTON
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
20186-2401
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
540-347-1888
Provider Business Mailing Address Fax Number:
540-347-7236

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
505 RADIO LN
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CULPEPER
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
22701-1580
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
540-347-1888
Provider Business Practice Location Address Fax Number:
540-347-7236
Provider Enumeration Date:
12/04/2007

Additional Information

Authorized Official

Authorized Official Last Name:
ERRERA
Authorized Official First Name:
JOSEPH
Authorized Official Middle Name:
S.
Authorized Official Title or Position:
MEMBER
Authorized Official Telephone Number:
540-347-1888

Provider Taxonomy Codes

  • Taxonomy code: 261QD0000X , with the licence number:  0401005937 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 261QD0000X , with the licence number: 0401410873 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com