Individual provider Active NPI

Rupert Neiko Gillin, DDS

  • Dentist
  • Silver Spring, MD
National Provider Identifier
1093498974
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
18173 Issued in MD
Practice address
1286 E West Hwy
Silver Spring, MD 20910-3242
Phone
(301) 761-4489
NPI assigned
Aug 8, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 18173 MD Primary

Addresses

Primary practice location

1286 E West Hwy
Silver Spring, MD 20910-3242

Mailing address

1286 E West Hwy
Silver Spring, MD 20910-3242
Phone (301) 761-4489

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231020003153 MD Order and Referring Only - DentistPractitioner - Dentist 1355797788

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18173MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Dentists of Silver Spring, LLC Dentist CurrentSince Aug 13, 2023 Accepting new patients

Locations

1286 E West Hwy
Silver Spring, MD 20910
Phone (301) 761-4489

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.

NPI Registry JSON

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

{
    "created_epoch": "1691452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1093498974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1286 E WEST HWY",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103242",
            "telephone_number": "301-761-4489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1286 E WEST HWY",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103242",
            "telephone_number": "301-761-4489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLIN",
        "first_name": "RUPERT",
        "middle_name": "NEIKO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-08",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "18173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.