Active NPI
Gregory Todd Wilkinson, DDS
- Pediatric Dentistry
- Memphis, TN
National Provider Identifier
1962597971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DS007065
- Practice address
- 5610 Murray Rd
Memphis, TN 38119 - Phone
- (901) 767-3390
- Fax
- (901) 763-0465
- NPI assigned
- Oct 4, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DS007065 | TN | |
| Pediatric Dentistry | 1223P0221X | DS007065 | TN | Primary |
Addresses
Primary practice location
5610 Murray Rd
Memphis, TN 38119
Mailing address
5610 Murray Rd
Memphis, TN 38119
Phone (901) 767-3390
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
| License | State | Type | Specialty |
|---|---|---|---|
| DS007065 | TN | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gregory T. Wilkinson DDS PC | Pediatric Dentistry | Current | Accepting new patients |
Locations
5610 Murray Ave
Memphis, TN 38119
Phone (901) 767-3390
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.
-
- Pediatric Dentistry
- Memphis, TN
- NPI 1467163824
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": "1586822400000",
"number": "1962597971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5610 MURRAY RD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "38119",
"telephone_number": "901-767-3390",
"fax_number": "901-763-0465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5610 MURRAY RD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "38119",
"telephone_number": "901-767-3390",
"fax_number": "901-763-0465"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKINSON",
"first_name": "GREGORY",
"middle_name": "TODD",
"name_prefix": "Mr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2020-04-14",
"certification_date": "2020-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "TN",
"license": "DS007065",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "TN",
"license": "DS007065",
"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 Apr 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.