Active NPI
Paula Kaye Gill, DMD PSC
- General Practice Dentistry
- Manchester, KY
National Provider Identifier
1033283296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6301
- Practice address
- 350 Manchester Square
Manchester, KY 40962 - Phone
- (606) 598-7770
- Fax
- (606) 598-1769
- NPI assigned
- Nov 20, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6301 | KY | Primary |
| Specialist | 174400000X | 6301 | KY |
Addresses
Primary practice location
350 Manchester Square
Manchester, KY 40962
Mailing address
PO Box 157
350 Manchester Square
Manchester, KY 40962
Phone (606) 598-7770
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 45608924 | Medicaid | KY | |
| 60063013 | Medicaid | KY |
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 |
|---|---|---|---|
| 6301 | KY | MD | Case Manager/Care Coordinator |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paula Gill, D.M.D Family Dentistry | Specialist | Past | Accepting new patients |
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.
-
- Specialist
- Manchester, KY
- NPI 1003081035
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199836800000",
"number": "1033283296",
"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": "40962",
"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",
"city": "MANCHESTER",
"state": "KY",
"postal_code": "40962",
"telephone_number": "606-598-7770",
"fax_number": "606-598-1769"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILL",
"first_name": "PAULA",
"middle_name": "KAYE",
"name_prefix": "Ms.",
"credential": "DMD PSC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-20",
"last_updated": "2008-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "KY",
"license": "6301",
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "KY",
"license": "6301",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "45608924",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "60063013",
"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 Jan 9, 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.