Individual provider Active NPI

Jeffrey Hluchan Gilbert, D.M.D.

  • Dentist
  • Greenwood, IN
National Provider Identifier
1275947251
Registry record updated Dec 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12012832A Issued in IN
Practice address
438 S Emerson Ave Ste 230
Greenwood, IN 46143-1948
Phone
(317) 886-7803
NPI assigned
Jun 17, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 9489 KY
Dentist 122300000X 12012832A IN Primary

Addresses

Primary practice location

438 S Emerson Ave Ste 230
Greenwood, IN 46143-1948

Mailing address

438 S Emerson Ave Ste 230
Greenwood, IN 46143-1948
Phone (317) 886-7803

Other practice location 1

2315 Mayfair Dr Ste 32
Owensboro, KY 42301-4557
Phone (270) 691-6205

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
12012832AINMDDentist
9489KYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Fiorenza Dental Group, LLC Dentist PastSince Dec 27, 2020 Accepting new patients
Owensboro-Daviess County Regional Dental Clinic Inc Dentist Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1402963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608508800000",
    "number": "1275947251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "438 S EMERSON AVE STE 230",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461431948",
            "telephone_number": "317-886-7803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "438 S EMERSON AVE STE 230",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461431948",
            "telephone_number": "317-886-7803"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2315 Mayfair Dr Ste 32",
            "address_purpose": "LOCATION",
            "city": "Owensboro",
            "state": "KY",
            "postal_code": "423014557",
            "country_code": "US",
            "telephone_number": "270-691-6205",
            "fax_number": "270-691-6299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILBERT",
        "first_name": "JEFFREY",
        "middle_name": "HLUCHAN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-17",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "9489",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12012832A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2020; 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.