Active NPI
Gregory Joseph Paprocki, D.D.S.
- Prosthodontics
- Memphis, TN
National Provider Identifier
1124144423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 9269
- Practice address
- 1030 Jefferson Ave
Dental Service (160)
Memphis, TN 38104 - Phone
- (901) 523-8990
- Fax
- (901) 302-3543
- NPI assigned
- Mar 21, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 9269 | TN | Primary |
Addresses
Primary practice location
1030 Jefferson Ave
Dental Service (160)
Memphis, TN 38104
Mailing address
1030 Jefferson Ave
Dental Service (160)
Memphis, TN 38104
Phone (901) 523-8990
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33468000 | Medicaid | WI |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9269 | TN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379289600000",
"number": "1124144423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1030 JEFFERSON AVE",
"address_2": "DENTAL SERVICE (160)",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "38104",
"telephone_number": "901-523-8990",
"fax_number": "901-302-3543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1030 JEFFERSON AVE",
"address_2": "DENTAL SERVICE (160)",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "38104",
"telephone_number": "901-523-8990",
"fax_number": "901-302-3543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAPROCKI",
"first_name": "GREGORY",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-21",
"last_updated": "2013-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "TN",
"license": "9269",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "33468000",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.