NPIMap

Organization Active NPI

Julia T. Gildon, D.D.S., PA

  • General Practice Dentistry
  • Little Rock, AR
National Provider Identifier
1407211766
Registry record updated Dec 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3630 Issued in AR
Legal business name
JULIA T. GILDON, D.D.S., PA
Practice address
5 Van Cir
Little Rock, AR 72207-5211
Phone
(501) 664-5615
Fax
(501) 664-9118
NPI assigned
Dec 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2015

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

Authorized official

Name
Gwen K. Hunt
Title
Office Manager
Phone
(501) 664-5615

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 3630 AR Primary

Addresses

Primary practice location

5 Van Cir
Little Rock, AR 72207-5211

Mailing address

5 Van Cir
Little Rock, AR 72207-5211
Phone (501) 664-5615

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1451433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451433600000",
    "number": "1407211766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 VAN CIR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722075211",
            "telephone_number": "501-664-5615",
            "fax_number": "501-664-9118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 VAN CIR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722075211",
            "telephone_number": "501-664-5615",
            "fax_number": "501-664-9118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIA T. GILDON, D.D.S., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-30",
        "last_updated": "2015-12-30",
        "status": "A",
        "authorized_official_last_name": "HUNT",
        "authorized_official_first_name": "GWEN",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "501-664-5615"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "3630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2015; 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.