Individual provider Active NPI

James Albert Gillcrist, D.D.S.

  • Public Health Dentistry
  • Nashville, TN
National Provider Identifier
1386862035
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
License
DS3811 Issued in TN
Practice address
310 Great Circle Road
Nashville, TN 37243
Phone
(615) 507-6494
Fax
(615) 741-0882
NPI assigned
Apr 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health Dentistry 1223D0001X DS3811 TN Primary

Addresses

Primary practice location

310 Great Circle Road
Nashville, TN 37243

Mailing address

310 Great Circle Road
Nashville, TN 37243
Phone (615) 507-6494

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
DS3811TNMDPublic Health Dentist

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386862035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 GREAT CIRCLE ROAD",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37243",
            "telephone_number": "615-507-6494",
            "fax_number": "615-741-0882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 GREAT CIRCLE ROAD",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37243",
            "telephone_number": "615-507-6494",
            "fax_number": "615-741-0882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLCRIST",
        "first_name": "JAMES",
        "middle_name": "ALBERT",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "TN",
            "license": "DS3811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

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.

Verify at the official NPI Registry.