Tamara Lynn Gierke, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

12011121A Issued in IN

Practice address

477 S Landmark Ave
Bloomington, IN 47403-5005

Phone

(812) 355-0855

Fax

(812) 355-0858

NPI assigned

Jul 24, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Bloomington Pediatric Dentistry L.L.C.

  • Pediatric Dentistry
  • Bloomington, IN
  • NPI 1780850628
  NPD (past)

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220918400000",
    "number": "1447450879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "477 S LANDMARK AVE",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474035005",
            "telephone_number": "812-355-0855",
            "fax_number": "812-355-0858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 S LANDMARK AVE",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474035005",
            "telephone_number": "812-355-0855",
            "fax_number": "812-355-0858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIERKE",
        "first_name": "TAMARA",
        "middle_name": "LYNN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-24",
        "last_updated": "2008-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IN",
            "license": "12011121A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200897320A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edward Allen Getts Jr., PT
• Rija Zehra Ghazanfar, MD
• Prodyot Ghosh, M.D.
• Thomas W Gibbs, DDS
• Leah Giberson, OD
• Cameron Douglas Gifford, MD
• Gigi P Stowe PHD Psychological Services LLC
• Kalina Gilbert
• William Allen Gilkey, PHD HSPP
• Gail Gill, RBT

• Pediatric Dentistry in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Pediatric Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.