Individual provider Active NPI

James H Gillespie Jr., D.M.D.

  • General Practice Dentistry
  • Birmingham, AL
National Provider Identifier
1215055843
Registry record updated Jan 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4377 Issued in AL
Practice address
2660 10TH Ave S
Suite 632
Birmingham, AL 35205-1605
Phone
(205) 250-6813
Fax
(205) 250-6843
NPI assigned
Mar 26, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4377 AL Primary

Addresses

Primary practice location

2660 10TH Ave S
Suite 632
Birmingham, AL 35205-1605

Mailing address

2660 10TH Ave S Ste 632
Birmingham, AL 35205-1627
Phone (205) 250-6813

Other identifiers 2

IdentifierTypeStateIssuer
03782OtherALBCBS PROVIDER #
4377OtherALSTATE DENTAL LICENSE #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151109002182 AL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 5395055081

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453939200000",
    "number": "1215055843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2660 10TH AVE S STE 632",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051627",
            "telephone_number": "205-250-6813",
            "fax_number": "205-250-6843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2660 10TH AVE S",
            "address_2": "SUITE 632",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051605",
            "telephone_number": "205-250-6813",
            "fax_number": "205-250-6843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLESPIE",
        "first_name": "JAMES",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2016-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "4377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "03782",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE DENTAL LICENSE #",
            "identifier": "4377",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.