Active NPI
Darrel J Gilbert, DDS
- Dentist
- Sandy Springs, GA
National Provider Identifier
1124159348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 9425
- Practice address
- 6667 Vernon Woods Dr NE
Suite B-30
Sandy Springs, GA 30328-3215 - Phone
- (404) 255-7047
- Fax
- (404) 843-1273
- NPI assigned
- Mar 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 9425 | GA | Primary |
Addresses
Primary practice location
6667 Vernon Woods Dr NE
Suite B-30
Sandy Springs, GA 30328-3215
Mailing address
6667 Vernon Woods Dr NE
Suite B-30
Sandy Springs, GA 30328-3215
Phone (404) 255-7047
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150624002979 | GA | Practitioner - Dentist | 2961721691 | Practice locations: Sandy Springs, GA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9425 | GA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sandy Springs Dental Associates, P.C. | Dentist | Past | Accepting new patients |
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.
-
- General Practice Dentistry
- Sandy Springs, GA
- NPI 1023493251
Dentist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124159348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6667 VERNON WOODS DR NE",
"address_2": "SUITE B-30",
"city": "SANDY SPRINGS",
"state": "GA",
"postal_code": "303283215",
"telephone_number": "404-255-7047",
"fax_number": "404-843-1273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6667 VERNON WOODS DR NE",
"address_2": "SUITE B-30",
"city": "SANDY SPRINGS",
"state": "GA",
"postal_code": "303283215",
"telephone_number": "404-255-7047",
"fax_number": "404-843-1273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILBERT",
"first_name": "DARREL",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "9425",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sandy Springs, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.