Active NPI
Joanne Kaleilehua Gilley, RDH
- Dental Hygienist
- Omaha, NE
National Provider Identifier
1184829186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 1873
- Practice address
- 2602 J St
Omaha, NE 68107-1643 - Phone
- (402) 733-1325
- Fax
- (402) 733-3487
- NPI assigned
- Jun 19, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 1873 | NE | Primary |
Addresses
Primary practice location
2602 J St
Omaha, NE 68107-1643
Mailing address
803 Cody Cir
Papillion, NE 68046-3747
Phone (402) 932-0233
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 |
|---|---|---|---|
| 1873 | NE | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184829186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "803 CODY CIR",
"city": "PAPILLION",
"state": "NE",
"postal_code": "680463747",
"telephone_number": "402-932-0233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2602 J ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681071643",
"telephone_number": "402-733-1325",
"fax_number": "402-733-3487"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLEY",
"first_name": "JOANNE",
"middle_name": "KALEILEHUA",
"name_prefix": "Ms.",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "NE",
"license": "1873",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.