Individual provider Active NPI

Gregg Hewitt Gilbert, D.D.S.

  • Dentist
  • Birmingham, AL
National Provider Identifier
1235523564
Registry record updated Mar 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5074 Issued in AL
Practice address
School of Dentistry 1919 7TH Ave S
SDB 109
Birmingham, AL 35294-0007
Phone
(205) 975-8886
Fax
(205) 975-0603
NPI assigned
Mar 25, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 5074 AL Primary
Dentist 122300000X 4182 LA

Addresses

Primary practice location

School of Dentistry 1919 7TH Ave S
SDB 109
Birmingham, AL 35294-0007

Mailing address

School of Dentistry 1919 7TH Ave S
SDB 109
Birmingham, AL 35294-0007
Phone (205) 975-8886

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
I20151116000933 AL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 7810207297

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4182LAMDAddiction (Substance Use Disorder) Counselor
5074ALMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1427241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427241600000",
    "number": "1235523564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SCHOOL OF DENTISTRY 1919 7TH AVE S",
            "address_2": "SDB 109",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352940007",
            "telephone_number": "205-975-8886",
            "fax_number": "205-975-0603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SCHOOL OF DENTISTRY 1919 7TH AVE S",
            "address_2": "SDB 109",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352940007",
            "telephone_number": "205-975-8886",
            "fax_number": "205-975-0603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILBERT",
        "first_name": "GREGG",
        "middle_name": "HEWITT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-25",
        "last_updated": "2015-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "5074",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "4182",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.