Implant Dentistry of the Mid South

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS3315 Issued in TN

Legal business name

IMPLANT DENTISTRY OF THE MID SOUTH

Practice address

1000 Brookfield Rd
Suite 104
Memphis, TN 38119-0802

Phone

(901) 767-3259

Fax

(901) 683-4756

NPI assigned

Aug 1, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. John William Payonk, D.D.S.NPI 1285664540

Title

Owner

Phone

(901) 767-3259

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John William Payonk, DDS

  • General Practice Dentistry
  • Memphis, TN
  • NPI 1285664540
  NPD (past) Authorized official

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003822842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 BROOKFIELD RD",
            "address_2": "SUITE 104",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381190802",
            "telephone_number": "901-683-4756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 BROOKFIELD RD",
            "address_2": "SUITE 104",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381190802",
            "telephone_number": "901-767-3259",
            "fax_number": "901-683-4756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPLANT DENTISTRY OF THE MID SOUTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PAYONK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-767-3259",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS3315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Immunobridge Medical Group, PLC
• Impact Midsouth Inc.
• Impeccable Care Services
• Impeccable Health Services & Quality Home Care
• Imperial Dental
• Hira Imran
• Raed E Imseis, MD
• In Caring Hands
• In His Hands
• In Home Care L.L.C (Indiana HomeCare)

• General Practice Dentistry in Memphis, TN
• Providers in Memphis, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.