Individual provider Active NPI

Victoria Anne Gill, DDS

  • Pediatric Dentistry
  • Cary, NC
National Provider Identifier
1386101541
Registry record updated Apr 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
12173 Issued in NC
Practice address
120 NE Maynard Rd Ste B
Cary, NC 27513-9615
Phone
(919) 421-1631
NPI assigned
Feb 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 12173 NC Primary

Addresses

Primary practice location

120 NE Maynard Rd Ste B
Cary, NC 27513-9615

Mailing address

120 NE Maynard Rd Ste B
Cary, NC 27513-9615

Other practice location 1

598 E Jackson Blvd Ste 100
Erwin, NC 28339-9632
Phone (910) 892-8886

Other practice location 2

3020 S Miami Blvd Ste B
Durham, NC 27703-9044
Phone (919) 246-3350

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
12173NCMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Wright and Associates VII DDS PA CurrentSince May 8, 2022 Accepting new patients
Lane and Associates V, DDS PA Past Accepting new patients
Wright and Associates IX DDS PA PastSince May 8, 2022 Accepting new patients

Locations

120 NE Maynard Rd
Ste B
Cary, NC 27513
Phone (919) 421-1631

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": "1551052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1386101541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 NE MAYNARD RD STE B",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275139615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 NE MAYNARD RD STE B",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275139615",
            "telephone_number": "919-421-1631"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "598 E Jackson Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Erwin",
            "state": "NC",
            "postal_code": "283399632",
            "country_code": "US",
            "telephone_number": "910-892-8886",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3020 S Miami Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277039044",
            "country_code": "US",
            "telephone_number": "919-246-3350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILL",
        "first_name": "VICTORIA",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-25",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NC",
            "license": "12173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; 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.