Individual provider Active NPI

Americo Nicola Gambella, D.D.S.

  • General Practice Dentistry
  • Seymour Johnson AFB, NC
National Provider Identifier
1427460914
Registry record updated Apr 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9740 Issued in NC
Practice address
1055 Jabara Ave
Seymour Johnson a F B, NC 27531-2311
Phone
(919) 722-1933
NPI assigned
Jun 2, 2014
Last updated
Apr 24, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 9740 NC Primary

Addresses

Primary practice location

1055 Jabara Ave
Seymour Johnson a F B, NC 27531-2311

Mailing address

1055 Jabara Ave
Seymour Johnson a F B, NC 27531-2311

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
9740NCMDCritical Care Registered Respiratory Therapist

NPI Registry JSON

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

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524528000000",
    "number": "1427460914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 JABARA AVE",
            "city": "SEYMOUR JOHNSON A F B",
            "state": "NC",
            "postal_code": "275312311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 JABARA AVE",
            "city": "SEYMOUR JOHNSON A F B",
            "state": "NC",
            "postal_code": "275312311",
            "telephone_number": "919-722-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMBELLA",
        "first_name": "AMERICO",
        "middle_name": "NICOLA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-02",
        "last_updated": "2018-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "9740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seymour Johnson AFB, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2018; 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.