Individual provider Active NPI

Robert D Gamotis, D.M.D.

  • Dentist
  • Bessemer, AL
National Provider Identifier
1235474248
Registry record updated Dec 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5910 C1 Issued in AL
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

Updated by the provider on Dec 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160817001875 AL Order and Referring Only - DentistPractitioner - Dentist 5799070652

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5910 C1ALMDDentist

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

Verify at the official NPI Registry.