Individual provider Active NPI

Darrel J Gilbert, DDS

  • Dentist
  • Sandy Springs, GA
National Provider Identifier
1124159348
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9425 Issued in GA
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150624002979 GA Practitioner - Dentist 2961721691 Practice locations: Sandy Springs, GA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9425GAMDDentist

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.