Organization Active NPI

Gilbert Dental Group LLC

  • Dentist
  • Greenville, SC
National Provider Identifier
1245505627
Registry record updated Jun 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7012 Issued in SC
Legal business name
GILBERT DENTAL GROUP LLC
Practice address
870 Cleveland St
Ste 1C
Greenville, SC 29601-4427
Phone
(864) 298-0229
NPI assigned
Mar 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2015

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

Authorized official

Name
Dr. Thomas Brandt Gilbert, D.M.D.
Title
President
Phone
(864) 270-0478

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 7012 SC Primary

Addresses

Primary practice location

870 Cleveland St
Ste 1C
Greenville, SC 29601-4427

Mailing address

870 Cleveland St
Ste 1C
Greenville, SC 29601-4427
Phone (864) 298-0229

National Provider Directory

National Provider Directory

Locations

870 Cleveland St
Ste 1C
Greenville, SC 29601
Phone (864) 235-3438

NPI Registry JSON

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

{
    "created_epoch": "1332115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433203200000",
    "number": "1245505627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 CLEVELAND ST",
            "address_2": "STE 1C",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296014427",
            "telephone_number": "864-298-0229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 CLEVELAND ST",
            "address_2": "STE 1C",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296014427",
            "telephone_number": "864-298-0229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILBERT DENTAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-19",
        "last_updated": "2015-06-02",
        "status": "A",
        "authorized_official_last_name": "GILBERT",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "BRANDT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-270-0478",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "SC",
            "license": "7012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.