Active NPI
Gregory Shayne Zilinski, D.D.S
- Endodontics
- Goodfellow Afb, TX
National Provider Identifier
1205141579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 2901020253
- Practice address
- 271 Ft Richardson Ave
17TH Medical Group
Goodfellow Afb, TX 76908 - Phone
- (325) 654-3053
- NPI assigned
- Aug 11, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 2901020253 | MI | Primary |
| Dentist | 122300000X | 2901020253 | MI |
Addresses
Primary practice location
271 Ft Richardson Ave
17TH Medical Group
Goodfellow Afb, TX 76908
Mailing address
271 Ft Richardson Ave
Goodfellow, TX 76908
Phone (325) 654-3053
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2901020253 | MI | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641254400000",
"number": "1205141579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "271 FT RICHARDSON AVE",
"city": "GOODFELLOW",
"state": "TX",
"postal_code": "76908",
"telephone_number": "325-654-3053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "271 FT RICHARDSON AVE",
"address_2": "17TH MEDICAL GROUP",
"city": "GOODFELLOW AFB",
"state": "TX",
"postal_code": "76908",
"telephone_number": "325-654-3053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZILINSKI",
"first_name": "GREGORY",
"middle_name": "SHAYNE",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-08-11",
"last_updated": "2022-01-04",
"certification_date": "2021-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "MI",
"license": "2901020253",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "2901020253",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Goodfellow Afb, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.