NPIMap

Organization Active NPI

John C. Gilmore, Jr., D.M.D., P.a.

Doing business as Gilmore Family Dentistry

  • General Practice Dentistry
  • Pensacola, FL
National Provider Identifier
1407986532
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6371 Issued in FL
Legal business name
JOHN C. GILMORE, JR., D.M.D., P.A.
Doing business as
Gilmore Family Dentistry
Practice address
1759 Creighton Rd
Pensacola, FL 32504-7145
Phone
(850) 476-4283
Fax
(850) 476-9709
NPI assigned
Mar 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Dr. John Connally Gilmore Jr., D.M.D.NPI 1265460414
Title
President, Dentist
Phone
(850) 476-4283

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 6371 FL Primary

Addresses

Primary practice location

1759 Creighton Rd
Pensacola, FL 32504-7145

Mailing address

1759 Creighton Rd
Pensacola, FL 32504-7145
Phone (850) 476-4283

Other identifiers 1

IdentifierTypeStateIssuer
790060OtherUNITED CONCORDIA PROVIDER

Other names 1

  • Gilmore Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

1759 Creighton Rd
Pensacola, FL 32504
Phone (850) 476-4283

Practitioners & affiliated clinicians

Practitioners 3

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": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1407986532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1759 CREIGHTON RD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325047145",
            "telephone_number": "850-476-4283",
            "fax_number": "850-476-9709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1759 CREIGHTON RD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325047145",
            "telephone_number": "850-476-4283",
            "fax_number": "850-476-9709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN C. GILMORE, JR., D.M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "GILMORE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "CONNALLY",
        "authorized_official_title_or_position": "PRESIDENT, DENTIST",
        "authorized_official_telephone_number": "850-476-4283",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "6371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA PROVIDER",
            "identifier": "790060",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gilmore Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.