Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

JONATHAN GRIFFIN DMD, MD
NPI 1780204693
Dentist - Oral and Maxillofacial Surgery in Grand Rapids, MI

Active since April 21, 2020PECOS Enrolled
2000 43RD ST SE STE D, GRAND RAPIDS, MI 49508(616) 735-2870(616) 735-2871 Get Directions Write a Review

NPPES record last updated: July 18, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 18, 2026, Apr 5, 2026, Oct 8, 2021 and 1 more (4 updates tracked since 2020).

About Jonathan Griffin Dmd, Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JONATHAN GRIFFIN DMD, MD (NPI 1780204693) is an individual oral and maxillofacial surgery provider in Grand Rapids, Michigan, licensed in Michigan (2901602913) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS and maintains a secondary practice location in Plainwell.

NPPES Registry Identity

NPI1780204693
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameJONATHAN GRIFFINCredential: DMD, MD
Location Address2000 43RD ST SE STE DGrand Rapids, MI 49508-8700
Mailing Address2140 Lake Michigan Dr NwGrand Rapids, MI 49504-4785 · (616) 735-2870 · Fax (616) 735-2871
Fax(616) 735-2871
Sole ProprietorNo
Enumeration DateApril 21, 2020
Last NPPES UpdateJuly 18, 20264 updates tracked since enumeration
NPPES CertifiedJuly 18, 2026
NPI 1780204693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in MI · 2901602913
Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

2000 43RD ST SE STE D, Grand Rapids, MI 49508

Secondary Practice Location 1

Location 11299 M 89 Ste 2Plainwell, MI 49080-1934 · Phone (616) 735-2871 · Fax (616) 735-2871

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jonathan Griffin Dmd, Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49508 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780204693, enumerated as an "individual" on April 21, 2020.

The provider is located at 2000 43RD ST SE STE D GRAND RAPIDS, MI 49508 and the phone number is (616) 735-2870.

Dentist with taxonomy code 1223S0112X and a focus in Oral and Maxillofacial Surgery.