Individual provider Active NPI

Joyce Franklin-Freshwater, D.D.S.

  • General Practice Dentistry
  • Memphis, TN
National Provider Identifier
1750371779
Registry record updated Nov 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS005100 Issued in TN
Practice address
577 E Raines Rd
Memphis, TN 38109-8368
Phone
(901) 345-8582
Fax
(901) 332-8523
NPI assigned
Oct 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2015

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 DS005100 TN Primary

Addresses

Primary practice location

577 E Raines Rd
Memphis, TN 38109-8368

Mailing address

577 E Raines Rd
Memphis, TN 38109-8368
Phone (901) 345-8582

Other identifiers 1

IdentifierTypeStateIssuer
62-1435678MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150721002240 GA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8921311804

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS005100TNMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447804800000",
    "number": "1750371779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "577 E RAINES RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381098368",
            "telephone_number": "901-345-8582",
            "fax_number": "901-332-8523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "577 E RAINES RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381098368",
            "telephone_number": "901-345-8582",
            "fax_number": "901-332-8523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANKLIN-FRESHWATER",
        "first_name": "JOYCE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-21",
        "last_updated": "2015-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS005100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "62-1435678",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.