Active NPI
Paul Gates, DDS
- Oral and Maxillofacial Surgery (Dentist)
- Bronx, NY
National Provider Identifier
1033115506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 030093-1
- Practice address
- 1770 Grand Concourse
Bronx, NY 10457-5524 - Phone
- (718) 901-8110
- Fax
- (718) 901-8121
- NPI assigned
- Jun 21, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 030093-1 | NY | Primary |
Addresses
Primary practice location
1770 Grand Concourse
Bronx, NY 10457-5524
Mailing address
1770 Grand Concourse
Bronx, NY 10457-5524
Phone (718) 901-8110
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 |
|---|---|---|---|
| 030093-1 | NY | MD | Oral and Maxillofacial Surgery (Dentist) |
| 030093 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359331200000",
"number": "1033115506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1770 GRAND CONCOURSE",
"city": "BRONX",
"state": "NY",
"postal_code": "104575524",
"telephone_number": "718-901-8110",
"fax_number": "718-901-8121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1770 GRAND CONCOURSE",
"city": "BRONX",
"state": "NY",
"postal_code": "104575524",
"telephone_number": "718-901-8110",
"fax_number": "718-901-8121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GATES",
"first_name": "PAUL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-21",
"last_updated": "2013-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "NY",
"license": "030093-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
- Gastroenterology and Liver Disease of the Bronx, P.C.
- Gastroenterology of the Bronx, PLLC
- Gastroentrology Services Olm
- Moira Ann Gately, RN
- Jacquelyn Alexa Gates
- Gateway Community Development, Inc.
- Gateway Counseling Center, Inc.
- Jacqueline Gathers, LMSW
- Karla Michelle Gatica Torres
- Rolando Gatilao, NP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.