Individual provider Active NPI

Ignatius Phillip Ginski, DDS

  • General Practice Dentistry
  • Memphis, TN
National Provider Identifier
1417575713
Registry record updated Jun 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11380 Issued in TN
Practice address
4283 Raleigh Millington Rd
Memphis, TN 38128-2207
Phone
(901) 633-1657
NPI assigned
Jul 13, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 11380 TN Primary

Addresses

Primary practice location

4283 Raleigh Millington Rd
Memphis, TN 38128-2207

Mailing address

4283 Raleigh Millington Rd
Memphis, TN 38128-2207
Phone (901) 633-1657

Other practice location 1

5180 Park Ave Ste 280
Memphis, TN 38119-3537
Phone (901) 497-0143

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

LicenseStateTypeSpecialty
11380TNMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ginski Family Dentistry PLLC CurrentSince Jul 3, 2022 Accepting new patients

Locations

5180 Park Ave
Ste 280
Memphis, TN 38119
Phone (901) 497-0143

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1594598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656288000000",
    "number": "1417575713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4283 RALEIGH MILLINGTON RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381282207",
            "telephone_number": "901-633-1657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4283 RALEIGH MILLINGTON RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381282207",
            "telephone_number": "901-633-1657"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5180 Park Ave Ste 280",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381193537",
            "country_code": "US",
            "telephone_number": "901-497-0143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GINSKI",
        "first_name": "IGNATIUS",
        "middle_name": "PHILLIP",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-13",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "11380",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 27, 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.

Verify at the official NPI Registry.