Organization Active NPI

Gary N Gaither DDS

  • General Practice Dentistry
  • Statesville, NC
National Provider Identifier
1114197399
Registry record updated Mar 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5212 Issued in NC
Legal business name
GARY N GAITHER DDS
Practice address
131 North Mulberry Street
Statesville, NC 28677-5135
Phone
(704) 873-8465
NPI assigned
Mar 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2008

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

Authorized official

Name
Dr. Gary Neil Gaither, DDSNPI 1932329984
Title
Dentist Owner
Phone
(704) 873-8465

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 5212 NC Primary

Addresses

Primary practice location

131 North Mulberry Street
Statesville, NC 28677-5135

Mailing address

131 North Mulberry Street
Statesville, NC 28677-5135
Phone (704) 873-8465

Other identifiers 1

IdentifierTypeStateIssuer
8993031MedicaidNC

National Provider Directory

National Provider Directory

Locations

131 N Mulberry St
Statesville, NC 28677
Phone (704) 873-8465

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204588800000",
    "number": "1114197399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 NORTH MULBERRY STREET",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286775135",
            "telephone_number": "704-873-8465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 NORTH MULBERRY STREET",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286775135",
            "telephone_number": "704-873-8465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY N GAITHER DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-04",
        "last_updated": "2008-03-04",
        "status": "A",
        "authorized_official_last_name": "GAITHER",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "NEIL",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "704-873-8465",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "5212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8993031",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; 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.