Active NPI
Paula Gill, D.M.D Family Dentistry
- Specialist
- Manchester, KY
National Provider Identifier
1003081035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- PAULA GILL, D.M.D FAMILY DENTISTRY
- Practice address
- 350 Manchester Square SHPG Ctr
Manchester, KY 40962-8700 - Phone
- (606) 598-7770
- NPI assigned
- Apr 30, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paula Kaye Gill, D.M.D
- Title
- Owner
- Phone
- (606) 598-7770
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
350 Manchester Square SHPG Ctr
Manchester, KY 40962-8700
Mailing address
PO Box 157
350 Manchester Square
Manchester, KY 40962-0157
Phone (606) 598-7770
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 45608924 | Medicaid | KY |
National Provider Directory
National Provider DirectoryLocations
350 Manchester Square Shpg Ctr
Manchester, KY 40962
Phone (606) 598-7770
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209513600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1209513600000",
"number": "1003081035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 157",
"address_2": "350 MANCHESTER SQUARE",
"city": "MANCHESTER",
"state": "KY",
"postal_code": "409620157",
"telephone_number": "606-598-7770",
"fax_number": "606-598-1769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 MANCHESTER SQUARE SHPG CTR",
"city": "MANCHESTER",
"state": "KY",
"postal_code": "409628700",
"telephone_number": "606-598-7770"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAULA GILL, D.M.D FAMILY DENTISTRY",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-30",
"last_updated": "2008-04-30",
"status": "A",
"authorized_official_last_name": "GILL",
"authorized_official_first_name": "PAULA",
"authorized_official_middle_name": "KAYE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "606-598-7770",
"authorized_official_credential": "D.M.D"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "45608924",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Manchester, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.