Robert Melvin Gilmore

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

18761 Issued in OH

Practice address

2250 Warrensville Center Road
University Heights, OH 44118

Phone

(216) 932-0433

Fax

(216) 932-1245

NPI assigned

Oct 12, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• DRS Harper & Gilmore Inc

  • General Practice Dentistry
  • University Heights, OH
  • NPI 1659445500
  NPD (past)
• Heights Dental Holdings LTD

  • Dentist
  • University Heights, OH
  • NPI 1952666950

  Durable Medical Equipment & Medical Supplies

  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559692800000",
    "number": "1104915974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 WARRENSVILLE CENTER ROAD",
            "city": "UNIVERSITY HEIGHTS",
            "state": "OH",
            "postal_code": "44118",
            "telephone_number": "216-932-0433",
            "fax_number": "216-932-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 WARRENSVILLE CENTER ROAD",
            "city": "UNIVERSITY HEIGHTS",
            "state": "OH",
            "postal_code": "44118",
            "telephone_number": "216-932-0433",
            "fax_number": "216-932-1245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILMORE",
        "first_name": "ROBERT",
        "middle_name": "MELVIN",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2019-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": "18761",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "18761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "18761",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0496744",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scott Douglas Fuldauer, O.D.
• Marilyn Gardner
• Aseem Nathan Garg
• Alan Gecht, LPC
• Amanda Giddens
• Ivan Glagola
• Adi Goldberg, MS, RD
• Jacquelyn Susan Gould, LISW-S
• Esther Graber
• Farah Joy Grandalski, PHARMD

• General Practice Dentistry in University Heights, OH
• Providers in University Heights, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2019; 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.