Individual provider Active NPI

Andrew Gilfillan IV, D.D.S.

  • General Practice Dentistry
  • Winchester, VA
National Provider Identifier
1245403047
Registry record updated Apr 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401008898 Issued in VA
Practice address
522 Amherst St
Winchester, VA 22601-3880
Phone
(540) 667-9180
NPI assigned
Apr 12, 2008
Last updated
Apr 12, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2008

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 0401008898 VA Primary

Addresses

Primary practice location

522 Amherst St
Winchester, VA 22601-3880

Mailing address

400 Meade Dr SW
Leesburg, VA 20175-5091
Phone (703) 737-7347

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20160603000068 VA Order and Referring Only - DentistPractitioner - Dentist 5193015188

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0401008898VAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1207958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207958400000",
    "number": "1245403047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 MEADE DR SW",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201755091",
            "telephone_number": "703-737-7347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 AMHERST ST",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226013880",
            "telephone_number": "540-667-9180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILFILLAN",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-12",
        "last_updated": "2008-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401008898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

Verify at the official NPI Registry.