Gloria Michelle Amsili, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

16889 Issued in TX

Practice address

1110 W William Cannon Dr
Suite 401
Austin, TX 78745-5468

Phone

(512) 445-5811

Fax

(512) 445-5721

NPI assigned

Oct 19, 2006

Last updated

Jul 9, 2007By 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Marc Amsili DDS PA

  dba Omni Dental Group

  • General Practice Dentistry
  • Austin, TX
  • NPI 1073611273
  NPD (past)

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1104908524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 W WILLIAM CANNON DR",
            "address_2": "SUITE 401",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787455468",
            "telephone_number": "512-445-5811",
            "fax_number": "512-445-5721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 W WILLIAM CANNON DR",
            "address_2": "SUITE 401",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787455468",
            "telephone_number": "512-445-5811",
            "fax_number": "512-445-5721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMSILI",
        "first_name": "GLORIA",
        "middle_name": "MICHELLE",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "16889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136340010",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Teresa Joy Amos, RD LD LVN
• Amp Consulting LLC
• Ariadna Giselle Amparan
• Ample and Rooted PLLC
• Amneh Jamal Amro, PA-C
• Marc A Amsili, D.D.S.
• Bright Amuzu
• Amy Beth Hopkins MPT PC Dba Your Personal Best PT
• Amy Beth Hopkins MPT PC Dba Your Personal Best PT (Your Personal Best PT)
• Amy Beth Hopkins MPT PC Dba Your Personal Best PT

• General Practice Dentistry in Austin, TX
• Providers in Austin, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.

Verify at the official NPI Registry.