Individual provider Active NPI

Francis Roy Grzejka, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Methuen, MA
National Provider Identifier
1588759237
Registry record updated Nov 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
16054 Issued in MA
Practice address
60 East St
Suite 2500
Methuen, MA 01844-4500
Phone
(978) 687-2224
Fax
(978) 683-2191
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 16054 MA Primary

Addresses

Primary practice location

60 East St
Suite 2500
Methuen, MA 01844-4500

Mailing address

60 East St
Suite 2500
Methuen, MA 01844-4500
Phone (978) 687-2224

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060511000064 MA Practitioner - Oral SurgeryPractitioner - Maxillofacial Surgery 5799796322

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16054MAMDOral and Maxillofacial Surgery (Dentist)

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194998400000",
    "number": "1588759237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 EAST ST",
            "address_2": "SUITE 2500",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018444500",
            "telephone_number": "978-687-2224",
            "fax_number": "978-683-2191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 EAST ST",
            "address_2": "SUITE 2500",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018444500",
            "telephone_number": "978-687-2224",
            "fax_number": "978-683-2191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRZEJKA",
        "first_name": "FRANCIS",
        "middle_name": "ROY",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MA",
            "license": "16054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Methuen, MA

Sources for this page

Verify at the official NPI Registry.