Individual provider Active NPI

David Benjamin Gaddis, DDS

  • General Practice Dentistry
  • Newton, NC
National Provider Identifier
1073622262
Registry record updated Oct 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7131 Issued in NC
Practice address
14 N Ashe Ave
Newton, NC 28658-3229
Phone
(828) 464-1732
Fax
(828) 464-1963
NPI assigned
Aug 30, 2006
Last updated
Oct 20, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7131 NC Primary

Addresses

Primary practice location

14 N Ashe Ave
Newton, NC 28658-3229

Mailing address

PO Box 307
14 North Ashe Ave
Newton, NC 28658-0307
Phone (828) 464-1732

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Sep 25, 2012 through Sep 25, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7131NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
David B Gaddis DDS PA CurrentSince Dec 15, 2019 Accepting new patients

Locations

14 N Ashe Ave
Newton, NC 28658
Phone (828) 464-1732

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603152000000",
    "number": "1073622262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 307",
            "address_2": "14 NORTH ASHE AVE",
            "city": "NEWTON",
            "state": "NC",
            "postal_code": "286580307",
            "telephone_number": "828-464-1732",
            "fax_number": "828-464-1963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 N ASHE AVE",
            "city": "NEWTON",
            "state": "NC",
            "postal_code": "286583229",
            "telephone_number": "828-464-1732",
            "fax_number": "828-464-1963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADDIS",
        "first_name": "DAVID",
        "middle_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, NC

Sources for this page

Verify at the official NPI Registry.