Alexis Gilliam, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DS042844 Issued in PA

Practice address

2820 Whiteford Rd
York, PA 17402-7620

Phone

(717) 885-9080

NPI assigned

Feb 28, 2019

Last updated

Jul 29, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1551312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595980800000",
    "number": "1053878892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 N GEORGE ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174011115",
            "telephone_number": "910-389-6031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 WHITEFORD RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174027620",
            "telephone_number": "717-885-9080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "241 N George St Apt 24",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174011115",
            "country_code": "US",
            "telephone_number": "910-389-6031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILLIAM",
        "first_name": "ALEXIS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-28",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PA",
            "license": "DS042844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dena Chandini Gill, MD
• Kevin Gill, PA-C
• Manjot Singh Gill, M.D.
• Rupinder K Gill, MD
• Stacie Suzanne Gill, DPM
• David M. Gilman, PA-C
• Veronica R Gilman, MA
• Raymond Karl Gilmore Jr., CRNA
• Stacie Gilmore
• Kenneth Gilrain, MD

• Pediatric Dentistry in York, PA
• Providers in York, PA by specialty
• Pediatric Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.

Verify at the official NPI Registry.