Joanna Marie Gamble, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

13434 Issued in NC

Practice address

5321 Tin Roof Way Ste 101
Raleigh, NC 27616-6736

Phone

(703) 835-5905

NPI assigned

Jun 15, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Joanna Gamble DMD, PLLC

  • Pediatric Dentistry
  • Wake Forest, NC
  • NPI 1487458220
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1205404480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5321 TIN ROOF WAY STE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276166736",
            "telephone_number": "703-835-5905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5321 TIN ROOF WAY STE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276166736",
            "telephone_number": "703-835-5905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMBLE",
        "first_name": "JOANNA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-15",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN26766",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NC",
            "license": "13434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Esteban Galvis Serna, PHD
• Jennifer C Gamache, PA-C
• Ruwan Lalinda Gamage Gamarallage, M.D.
• Justin Michael Gambini, PA-C
• Emily Grace Gamble, PA
• Kim Joy Gamble
• Renee Gamble, CRNA
• Richard Lamar Gamble II, ASW
• Seriana Gamble, LMCHA
• Luis Fernando Gamboa, DMD

• Pediatric Dentistry in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Pediatric Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.