Active NPI
Roger Neil Gilbert, D.D.S.
- General Practice Dentistry
- Loma Linda, CA
National Provider Identifier
1184771156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 39408
- Practice address
- 25875 Barton Rd
Suite #104
Loma Linda, CA 92354-3891 - Phone
- (909) 796-7961
- NPI assigned
- Jan 4, 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 39408 | CA | Primary |
Addresses
Primary practice location
25875 Barton Rd
Suite #104
Loma Linda, CA 92354-3891
Mailing address
11798 Landsdown Rd
Loma Linda, CA 92354-4161
Phone (909) 796-1027
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39408 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1499731200000",
"number": "1184771156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11798 LANDSDOWN RD",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923544161",
"telephone_number": "909-796-1027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25875 BARTON RD",
"address_2": "SUITE #104",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923543891",
"telephone_number": "909-796-7961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILBERT",
"first_name": "ROGER",
"middle_name": "NEIL",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-04",
"last_updated": "2017-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "39408",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Loma Linda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.