Active NPI
David Gatti Corless, D.M.D
- General Practice Dentistry
- Decatur, TX
National Provider Identifier
1467731679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 27281
- Practice address
- 301 W. Main St.
Decatur, TX 76234 - Phone
- (940) 627-3730
- NPI assigned
- Aug 5, 2011
- Last updated
- Feb 4, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 27281 | TX | Primary |
Addresses
Primary practice location
301 W. Main St.
Decatur, TX 76234
Mailing address
734 N Grand Avenue
Gainesville, TX 76240
Phone (940) 668-9000
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
| License | State | Type | Specialty |
|---|---|---|---|
| 27281 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Decatur Advanced Dental | Past | Accepting new patients | |
| Decatur Smiles | 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": "1312502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454544000000",
"number": "1467731679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "734 N GRAND AVENUE",
"city": "GAINESVILLE",
"state": "TX",
"postal_code": "76240",
"telephone_number": "940-668-9000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 W. MAIN ST.",
"city": "DECATUR",
"state": "TX",
"postal_code": "76234",
"telephone_number": "940-627-3730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORLESS",
"first_name": "DAVID",
"middle_name": "GATTI",
"credential": "D.M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-08-05",
"last_updated": "2016-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "27281",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Decatur, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.