Active NPI
Dee Eugene Golles, D.D.S.
- Dentist
- Redding, CA
National Provider Identifier
1295805513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 28861
- Practice address
- 2750 Airpark Dr
Redding, CA 96001-2463 - Phone
- (530) 243-8888
- Fax
- (530) 243-2455
- NPI assigned
- Nov 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 28861 | CA | Primary |
Addresses
Primary practice location
2750 Airpark Dr
Redding, CA 96001-2463
Mailing address
2394 Dream St
Redding, CA 96001-5938
Phone (530) 243-8085
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
| License | State | Type | Specialty |
|---|---|---|---|
| 28861 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kristen Stewart, DDS, Inc | Dentist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dentist
- Redding, CA
- NPI 1326584616
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295805513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2394 DREAM ST",
"city": "REDDING",
"state": "CA",
"postal_code": "960015938",
"telephone_number": "530-243-8085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2750 AIRPARK DR",
"city": "REDDING",
"state": "CA",
"postal_code": "960012463",
"telephone_number": "530-243-8888",
"fax_number": "530-243-2455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLLES",
"first_name": "DEE",
"middle_name": "EUGENE",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "28861",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redding, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.