Active NPI
Julio Rafael Gaitan, D.D.S.
- Endodontics
- Houston, TX
National Provider Identifier
1043225428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 19953
- Practice address
- 9400 Westheimer
#1
Houston, TX 77063 - Phone
- (713) 932-7730
- NPI assigned
- Jul 31, 2006
- 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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 19953 | TX | Primary |
Addresses
Primary practice location
9400 Westheimer
#1
Houston, TX 77063
Mailing address
1200 Post Oak Blvd. #2206
Houston, TX 77056
Phone (713) 623-0335
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210514000706 | TX | Order and Referring Only - Dentist | 1557770997 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Julio Gaitan D.D.S., P.a. | Endodontics | 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.
-
- Endodontics
- Humble, TX
- NPI 1871980318
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043225428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 POST OAK BLVD. #2206",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77056",
"telephone_number": "713-623-0335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9400 WESTHEIMER",
"address_2": "#1",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77063",
"telephone_number": "713-932-7730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAITAN",
"first_name": "JULIO",
"middle_name": "RAFAEL",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "TX",
"license": "19953",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.