Gregory George Patacca, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

20293 Issued in OH

Practice address

12575 Rockside Rd
Suite 101
Garfield Heights, OH 44125-4548

Phone

(216) 663-2515

Fax

(216) 663-2515

NPI assigned

Feb 19, 2009

Last updated

Feb 19, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1235001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235001600000",
    "number": "1760621494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12575 ROCKSIDE RD",
            "address_2": "SUITE 101",
            "city": "GARFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441254548",
            "telephone_number": "216-663-2515",
            "fax_number": "216-663-2515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12575 ROCKSIDE RD",
            "address_2": "SUITE 101",
            "city": "GARFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441254548",
            "telephone_number": "216-663-2515",
            "fax_number": "216-663-2515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATACCA",
        "first_name": "GREGORY",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-19",
        "last_updated": "2009-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "20293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Venisha Parikh
• Kiana Nicole Parish
• Deborah Lynn Parker
• Marybeth Parker
• Shannon Maria Parker, INDEPENDENT PROVIDER
• Vijaykant Patel, MD
• Mark Patena
• Shauntae Patterson
• Erin E. Pawlicki, PA-C
• Pdi Toledo, LLC

• Dentist in Garfield Heights, OH
• Providers in Garfield Heights, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2009; 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.