Individual provider Active NPI

Andre Marque Gillespie, D.D.S

  • Dentist
  • Aurora, CO
National Provider Identifier
1285897751
Registry record updated Jun 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9721 Issued in CO
Practice address
3464 N. Salida St.
Aurora, CO 80011
Phone
(303) 307-9999
Fax
(303) 307-9992
NPI assigned
Jul 5, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 9721 CO Primary

Addresses

Primary practice location

3464 N. Salida St.
Aurora, CO 80011

Mailing address

3464 N. Salida St.
Aurora, CO 80011
Phone (303) 307-9999

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
9721COMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Lilteeth Dentistry 2, PLLC Current Accepting new patients
Lil Teeth Dentistry PLLC CurrentSince Nov 19, 2023 Accepting new patients
GVR Vision Now LLC Current Accepting new patients

Locations

3464 N Salida St
Ste A
Aurora, CO 80011
Phone (303) 307-9999

3464 N Salida St
Aurora, CO 80011
Phone (303) 307-9999

24450 E Smoky Hill Rd
Ste 100
Aurora, CO 80016

Organizations & group practices 3

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": "1215216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433808000000",
    "number": "1285897751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3464 N. SALIDA ST.",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "80011",
            "telephone_number": "303-307-9999",
            "fax_number": "303-307-9992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3464 N. SALIDA ST.",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "80011",
            "telephone_number": "303-307-9999",
            "fax_number": "303-307-9992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLESPIE",
        "first_name": "ANDRE",
        "middle_name": "MARQUE",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-05",
        "last_updated": "2015-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "9721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.