Individual provider Active NPI

Ridge Morgan Gilley, D.D.S., M.S.

  • Periodontics
  • Bolling AFB, DC
National Provider Identifier
1447252481
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
12850 Issued in MD
Practice address
11TH Dental Squadron
238 Brookley Ave
Bolling AFB, DC 20032
Phone
(202) 404-6380
Fax
(202) 767-4091
NPI assigned
Aug 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 12850 MD Primary

Addresses

Primary practice location

11TH Dental Squadron
238 Brookley Ave
Bolling AFB, DC 20032

Mailing address

14800 Pale Morning PL
Hughesville, MD 20637-2418
Phone (301) 274-3963

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 3, 2023 through Apr 3, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
12850MDMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Garner D Morgan DDS PA & Associates Past Accepting new patients
Luke M. Morgan, D.D.S. and Associates, LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1447252481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14800 PALE MORNING PL",
            "city": "HUGHESVILLE",
            "state": "MD",
            "postal_code": "206372418",
            "telephone_number": "301-274-3963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11TH DENTAL SQUADRON",
            "address_2": "238 BROOKLEY AVE",
            "city": "BOLLING AFB",
            "state": "DC",
            "postal_code": "20032",
            "telephone_number": "202-404-6380",
            "fax_number": "202-767-4091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLEY",
        "first_name": "RIDGE",
        "middle_name": "MORGAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MD",
            "license": "12850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bolling AFB, DC

Sources for this page

Verify at the official NPI Registry.