Individual provider Active NPI

David H. Gilbert, D.D.S.

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Upland, CA
National Provider Identifier
1447228523
Registry record updated Aug 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
42654 Issued in CA
Practice address
1333 E Foothill Blvd
Suite 1
Upland, CA 91786-4052
Phone
(909) 982-8888
Fax
(909) 982-8251
NPI assigned
Mar 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 42654 CA
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 42654 CA Primary

Addresses

Primary practice location

1333 E Foothill Blvd
Suite 1
Upland, CA 91786-4052

Mailing address

1333 E Foothill Blvd
Suite 1
Upland, CA 91786-4052
Phone (909) 982-8888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040810000495 CA Practitioner - Maxillofacial SurgeryPractitioner - Oral SurgeryPractitioner - Plastic and Reconstructive Surgery 9234101411 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
David H Gilbert DDS Ms Mba Inc Oral and Maxillofacial Surgery CurrentSince Mar 25, 2009 Accepting new patients

Locations

600 N Mountain Ave
Ste C105
Upland, CA 91786
Phone (909) 981-1300

1333 E Foothill Blvd
Ste 1
Upland, CA 91786
Phone (909) 982-8888

Organizations & group practices 1

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": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566172800000",
    "number": "1447228523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 E FOOTHILL BLVD",
            "address_2": "SUITE 1",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864052",
            "telephone_number": "909-982-8888",
            "fax_number": "909-982-8251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 E FOOTHILL BLVD",
            "address_2": "SUITE 1",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864052",
            "telephone_number": "909-982-8888",
            "fax_number": "909-982-8251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILBERT",
        "first_name": "DAVID",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2019-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "42654",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "CA",
            "license": "42654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

Verify at the official NPI Registry.