Active NPI
Gary Piorkowski, DDS
- General Practice Dentistry
- Panama City, FL
National Provider Identifier
1699705434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN21660
- Practice address
- 403 E 11TH St
Panama City, FL 32401-3409 - Phone
- (850) 767-3350
- NPI assigned
- Jul 4, 2006
- Last updated
- Jun 21, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN21660 | FL | Primary |
Addresses
Primary practice location
403 E 11TH St
Panama City, FL 32401-3409
Mailing address
403 E 11TH St
Panama City, FL 32401-3409
Phone (850) 767-3350
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 |
|---|---|---|---|
| DN21660 | FL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pancare of Florida, Inc | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Bristol, FL
- NPI 1275346108
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687305600000",
"number": "1699705434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "403 E 11TH ST",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324013409",
"telephone_number": "850-767-3350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 E 11TH ST",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324013409",
"telephone_number": "850-767-3350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIORKOWSKI",
"first_name": "GARY",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-04",
"last_updated": "2023-06-21",
"certification_date": "2023-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN21660",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Panama City, FL
- Albert Michael Pickle, R, MR
- Cassandra Pierce, FNP-C
- Michelle Marie Pierce, LCSW
- Paige Pieretti
- Pinnacle Health Facilities Xxiv LP (St. Andrews Bay Skilled Nursing and Rehabilitation Center)
- Diane Pipkin, LCSW
- Lori A. Pippin, APRN
- Yousef Jackson Pippin III, OD
- Thomosa Pittman, M.S.
- Janie Pitts, ARNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.