Individual provider Active NPI

James M Grepling, P.A.C.

  • Medical Physician Assistant
  • Glendale, AZ
National Provider Identifier
1295808962
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
1156 Issued in AZ
Practice address
6040 N 43Rd Ave
Suite 1
Glendale, AZ 85301-5488
Phone
(623) 931-2221
Fax
(623) 934-2849
NPI assigned
Nov 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 1156 AZ Primary

Addresses

Primary practice location

6040 N 43Rd Ave
Suite 1
Glendale, AZ 85301-5488

Mailing address

6040 N 43Rd Ave
Suite 1
Glendale, AZ 85301-5488
Phone (623) 931-2221

Other identifiers 1

IdentifierTypeStateIssuer
380212MedicaidAZ

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
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1156AZMDMedical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1295808962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6040 N 43RD AVE",
            "address_2": "SUITE 1",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853015488",
            "telephone_number": "623-931-2221",
            "fax_number": "623-934-2849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6040 N 43RD AVE",
            "address_2": "SUITE 1",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853015488",
            "telephone_number": "623-931-2221",
            "fax_number": "623-934-2849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREPLING",
        "first_name": "JAMES",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "P.A.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "1156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "380212",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.