Active NPI
James T Gimbel DDS PC
- General Practice Dentistry
- Davenport, IA
National Provider Identifier
1477638815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 06835
- Legal business name
- JAMES T GIMBEL DDS PC
- Practice address
- 5335 Eastern Avenue
Suite a
Davenport, IA 52807-2788 - Phone
- (563) 386-0301
- Fax
- (563) 386-0987
- NPI assigned
- Oct 26, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. James Thomas Gimbel, DDS
- Title
- Dentist Owner
- Phone
- (563) 386-0301
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 06835 | IA | Primary |
Addresses
Primary practice location
5335 Eastern Avenue
Suite a
Davenport, IA 52807-2788
Mailing address
5335 Eastern Avenue
Suite a
Davenport, IA 52807-2788
Phone (563) 386-0301
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 107305 | Other | UNITED CONCORDIA | |
| 0009977 | Medicaid | IA | |
| 19764 | Other | WELLMARK FEDERAL |
National Provider Directory
National Provider DirectoryLocations
5335 Eastern Ave
Ste A
Davenport, IA 52807
Phone (563) 386-0301
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Davenport, IA
- NPI 1598918187
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1294963200000",
"number": "1477638815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5335 EASTERN AVENUE",
"address_2": "SUITE A",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528072788",
"telephone_number": "563-386-0301",
"fax_number": "563-386-0987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5335 EASTERN AVENUE",
"address_2": "SUITE A",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528072788",
"telephone_number": "563-386-0301",
"fax_number": "563-386-0987"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAMES T GIMBEL DDS PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-26",
"last_updated": "2011-01-14",
"status": "A",
"authorized_official_last_name": "GIMBEL",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "THOMAS",
"authorized_official_title_or_position": "DENTIST OWNER",
"authorized_official_telephone_number": "563-386-0301",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "IA",
"license": "06835",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "107305",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0009977",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK FEDERAL",
"identifier": "19764",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Davenport, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.