Active NPI
Robert D Gamotis, D.M.D.
- Dentist
- Bessemer, AL
National Provider Identifier
1235474248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 5910 C1
- Practice address
- 1700 6TH Ave N
Bessemer, AL 35020-4849 - Phone
- (205) 565-1012
- NPI assigned
- Dec 2, 2012
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 5910 C1 | AL | Primary |
Addresses
Primary practice location
1700 6TH Ave N
Bessemer, AL 35020-4849
Mailing address
2013 4TH PL S
Birmingham, AL 35205-6925
Phone (334) 559-1981
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160817001875 | AL | Order and Referring Only - Dentist | 5799070652 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5910 C1 | AL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354406400000",
"number": "1235474248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2013 4TH PL S",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352056925",
"telephone_number": "334-559-1981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 6TH AVE N",
"city": "BESSEMER",
"state": "AL",
"postal_code": "350204849",
"telephone_number": "205-565-1012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAMOTIS",
"first_name": "ROBERT",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-12-02",
"last_updated": "2012-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AL",
"license": "5910 C1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bessemer, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.