Organization Active NPI

Delon K Gilbert, DDS, LLC

  • General Practice Dentistry
  • Wheeler, OR
National Provider Identifier
1063778751
Registry record updated Apr 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D8055 Issued in OR
Legal business name
DELON K GILBERT, DDS, LLC
Practice address
278 Rowe Street
#205
Wheeler, OR 97147
Phone
(503) 810-3840
NPI assigned
Apr 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2012

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

Authorized official

Name
Dr. Delon Gilbert, DDS
Title
President
Phone
(503) 810-3840

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X D8055 OR Primary

Addresses

Primary practice location

278 Rowe Street
#205
Wheeler, OR 97147

Mailing address

P.O. Box 164
278 Rowe Street
Wheeler, OR 97147

Other identifiers 1

IdentifierTypeStateIssuer
231013MedicaidOR

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1333670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333670400000",
    "number": "1063778751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 164",
            "address_2": "278 ROWE STREET",
            "city": "WHEELER",
            "state": "OR",
            "postal_code": "97147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "278 ROWE STREET",
            "address_2": "#205",
            "city": "WHEELER",
            "state": "OR",
            "postal_code": "97147",
            "telephone_number": "503-810-3840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELON K GILBERT, DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-06",
        "last_updated": "2012-04-06",
        "status": "A",
        "authorized_official_last_name": "GILBERT",
        "authorized_official_first_name": "DELON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-810-3840",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D8055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "231013",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheeler, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2012; 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.