Individual provider Active NPI

Dale Alvin Giesting, DDS

  • Dentist
  • Brookville, IN
National Provider Identifier
1235201260
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12007150 Issued in IN
Practice address
10130 Oxford Pike
Brookville, IN 47012-9414
Phone
(765) 647-2511
Fax
(765) 647-6840
NPI assigned
Nov 14, 2006
Sex
Male
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20150330000472 IN Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 0244557395

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Giesting Family Dentistry, PC Dentist Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 12007150 IN Primary

Addresses

NPPES NPI Registry

Primary practice location

10130 Oxford Pike
Brookville, IN 47012-9414

Mailing address

10130 Oxford Pike
PO Box D
Brookville, IN 47012
Phone (765) 647-2511

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235201260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10130 OXFORD PIKE",
            "address_2": "PO BOX D",
            "city": "BROOKVILLE",
            "state": "IN",
            "postal_code": "47012",
            "telephone_number": "765-647-2511",
            "fax_number": "765-647-6840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10130 OXFORD PIKE",
            "city": "BROOKVILLE",
            "state": "IN",
            "postal_code": "470129414",
            "telephone_number": "765-647-2511",
            "fax_number": "765-647-6840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIESTING",
        "first_name": "DALE",
        "middle_name": "ALVIN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12007150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookville, IN

Sources for this page

Verify at the official NPI Registry.