Organization Active NPI

Joanna Gamble DMD, PLLC

  • Pediatric Dentistry
  • Wake Forest, NC
National Provider Identifier
1487458220
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
JOANNA GAMBLE DMD, PLLC
Practice address
3319 Heritage Trade Dr Ste 101
Wake Forest, NC 27587-1001
Phone
(919) 229-4146
Fax
(919) 229-4460
NPI assigned
Apr 2, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Authorized official

Name
Dr. Joanna Marie Gamble, DMDNPI 1205404480
Title
Owner
Phone
(919) 229-4146

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)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

3319 Heritage Trade Dr Ste 101
Wake Forest, NC 27587-1001

Mailing address

529 Lake Holding St
Wake Forest, NC 27587-6856
Phone (919) 229-4146

National Provider Directory

National Provider Directory

Locations

3319 Heritage Trade Dr
Ste 101
Wake Forest, NC 27587
Phone (919) 229-4146

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1743552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743552000000",
    "number": "1487458220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 LAKE HOLDING ST",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275876856",
            "telephone_number": "919-229-4146",
            "fax_number": "919-229-4460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3319 HERITAGE TRADE DR STE 101",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275871001",
            "telephone_number": "919-229-4146",
            "fax_number": "919-229-4460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOANNA GAMBLE DMD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-02",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A",
        "authorized_official_last_name": "GAMBLE",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-229-4146",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wake Forest, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; 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.