NPIMap

Organization Active NPI

Dylan C Gaillard, DDS, LLC

  • Dental Clinic/Center
  • Omaha, NE
National Provider Identifier
1326535261
Registry record updated Apr 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DYLAN C GAILLARD, DDS, LLC
Practice address
12828 Augusta Ave
Omaha, NE 68144-3733
Phone
(402) 334-5052
Fax
(402) 334-0215
NPI assigned
Apr 17, 2018
Organization subpart
Yes
Parent organization
DYLAN C GAILLARD, DDS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 17, 2018

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

Authorized official

Name
Dr. Dylan C Gaillard, DDS
Title
Dentist/Owner
Phone
(402) 334-5052

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

12828 Augusta Ave
Omaha, NE 68144-3733

Mailing address

12828 Augusta Ave
Omaha, NE 68144-3733
Phone (402) 334-5052

Other names 1

  • Augusta Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dylan C Gaillard DDS LLC2 organizations share this tax ID, including this one
Part of
Dylan C Gaillard DDS LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

12828 Augusta Ave
Omaha, NE 68144
Phone (402) 334-5052

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523923200000",
    "number": "1326535261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12828 AUGUSTA AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681443733",
            "telephone_number": "402-334-5052",
            "fax_number": "402-334-0215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12828 AUGUSTA AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681443733",
            "telephone_number": "402-334-5052",
            "fax_number": "402-334-0215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYLAN C GAILLARD, DDS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DYLAN C GAILLARD, DDS, LLC",
        "enumeration_date": "2018-04-17",
        "last_updated": "2018-04-17",
        "status": "A",
        "authorized_official_last_name": "GAILLARD",
        "authorized_official_first_name": "DYLAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "402-334-5052",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Augusta Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Augusta Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2018; 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.