Organization Active NPI

Gilbert H Sydney DDS, PC

  • General Practice Dentistry
  • Greeley, CO
National Provider Identifier
1205871886
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
764 Issued in CO
Legal business name
GILBERT H SYDNEY DDS, PC
Practice address
3705 W 12TH St
Greeley, CO 80634-2551
Phone
(970) 356-3717
NPI assigned
Jun 18, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Gilbert H. Sydney, DDSNPI 1033541461
Title
President
Phone
(970) 356-3717

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 764 CO Primary

Addresses

Primary practice location

3705 W 12TH St
Greeley, CO 80634-2551

Mailing address

3705 W 12TH St
Greeley, CO 80634-2551
Phone (970) 356-3717

Other identifiers 1

IdentifierTypeStateIssuer
04020533MedicaidCO

National Provider Directory

National Provider Directory

Locations

3705 W 12th St
Greeley, CO 80634
Phone (970) 356-2605

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205871886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3705 W 12TH ST",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806342551",
            "telephone_number": "970-356-3717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 W 12TH ST",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806342551",
            "telephone_number": "970-356-3717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILBERT H SYDNEY DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SYDNEY",
        "authorized_official_first_name": "GILBERT",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "970-356-3717",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04020533",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.