Individual provider Active NPI

Danisel Gil, DDS

  • Dentist
  • Hyannis, MA
National Provider Identifier
1306273032
Registry record updated Sep 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DL12075 Issued in MA
Practice address
30 Elm Ave
Hyannis, MA 02601-5547
Phone
(508) 778-5440
Fax
(508) 778-8747
NPI assigned
Sep 26, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DL12075 MA Primary

Addresses

Primary practice location

30 Elm Ave
Hyannis, MA 02601-5547

Mailing address

1135 Morton St
Mattapan, MA 02126-2834
Phone (617) 533-2300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20190906001256 MA Practitioner - Dentist 1658662424 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DL12075MAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Harbor Health Services, Inc. CurrentSince Sep 3, 2019 Accepting new patients
Harbor Health Services, Inc Past Accepting new patients
Harbor Health Services Dentist Past Accepting new patients

Locations

250 Mount Vernon St
Dorchester, MA 02125
Phone (617) 288-1140

735 Attucks Ln
Hyannis, MA 02601
Phone (508) 778-0300

1135 Morton St
Mattapan, MA 02126
Phone (617) 533-2300

10 Cordage Park Cir
Ste 115
Plymouth, MA 02360
Phone (508) 778-5470

Interoperability endpoints

  • Direct secure messaging: dgil322389@direct.ochin.org

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": "1380153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380153600000",
    "number": "1306273032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 MORTON ST",
            "city": "MATTAPAN",
            "state": "MA",
            "postal_code": "021262834",
            "telephone_number": "617-533-2300",
            "fax_number": "617-533-2341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 ELM AVE",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026015547",
            "telephone_number": "508-778-5440",
            "fax_number": "508-778-8747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIL",
        "first_name": "DANISEL",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-26",
        "last_updated": "2013-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DL12075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyannis, MA

Sources for this page

Verify at the official NPI Registry.