Active NPI
Gail Nicosia, D.D.S.
- Periodontics
- Austin, TX
National Provider Identifier
1184819864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 16530
- Practice address
- 711 W 38TH St Ste G5
Austin, TX 78705-1134 - Phone
- (512) 453-1600
- Fax
- (512) 453-1503
- NPI assigned
- Sep 6, 2007
- Last updated
- Sep 6, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 16530 | TX | Primary |
Addresses
Primary practice location
711 W 38TH St Ste G5
Austin, TX 78705-1134
Mailing address
711 W 38TH St Ste G5
Austin, TX 78705-1134
Phone (512) 453-1600
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 |
|---|---|---|---|
| 16530 | TX | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metro Periodontics | Periodontics | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189036800000",
"number": "1184819864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 W 38TH ST STE G5",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787051134",
"telephone_number": "512-453-1600",
"fax_number": "512-453-1503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 W 38TH ST STE G5",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787051134",
"telephone_number": "512-453-1600",
"fax_number": "512-453-1503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICOSIA",
"first_name": "GAIL",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-06",
"last_updated": "2007-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "TX",
"license": "16530",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
- Christine Nicola, NP
- Nicolas Carrasco, PHD., Inc.
- Nicole Smith Speech and Language Therapy, PLLC (Sago Speech Therapy)
- Nicole Williams Counseling
- Nicona Dialysis LLC (Brodie Lane Dialysis)
- Jordan Swindle Nicquette, PA
- Julie Niedert, M.S., CCC-SLP
- Joy Nielsen, M.D.
- Kristian Thomas Nielsen, CRNA
- Mariann Nielsen, WHNP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.