Organization Active NPI

James R Gill DDS MSD Inc PC

  • Dentist
  • Evansville, IN
National Provider Identifier
1366552085
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12009709 Issued in IN
Legal business name
JAMES R GILL DDS MSD INC PC
Practice address
7244 E Virginia Street
Evansville, IN 47715-4068
Phone
(812) 476-1377
Fax
(812) 476-1288
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
James R Gill, DDS MSDNPI 1639381577
Title
President
Phone
(812) 476-1377

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 12009709 IN Primary

Addresses

Primary practice location

7244 E Virginia Street
Evansville, IN 47715-4068

Mailing address

7244 E Virginia Street
Evansville, IN 47715-4068
Phone (812) 476-1377

Other identifiers 1

IdentifierTypeStateIssuer
163651OtherINCSHC

Other names 1

  • James R Gill DDS MSD Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366552085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7244 E VIRGINIA STREET",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477154068",
            "telephone_number": "812-476-1377",
            "fax_number": "812-476-1288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7244 E VIRGINIA STREET",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477154068",
            "telephone_number": "812-476-1377",
            "fax_number": "812-476-1288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES R GILL DDS MSD INC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-476-1377",
        "authorized_official_credential": "DDS MSD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IN",
            "license": "12009709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSHC",
            "identifier": "163651",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "James R Gill DDS MSD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.