William E Gipson DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019014566 Issued in IL

Legal business name

WILLIAM E GIPSON DDS PC

Practice address

6 So Sixth Ave
La Grange, IL 60525-2401

Phone

(708) 352-1495

Fax

(708) 352-1524

NPI assigned

Apr 12, 2007

Organization subpart

No

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

Authorized official

Name

William Eugene Gipson, DDSNPI 1992042311

Title

President of Corporation

Phone

(708) 352-1495

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William E. Gipson, D.D.S.

  • General Practice Dentistry
  • La Grange, IL
  • NPI 1992042311
  NPD (past) Authorized official

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339977600000",
    "number": "1497979645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 SO SIXTH AVE",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605252401",
            "telephone_number": "708-352-1495",
            "fax_number": "708-352-1524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 SO SIXTH AVE",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605252401",
            "telephone_number": "708-352-1495",
            "fax_number": "708-352-1524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM E GIPSON DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2012-06-18",
        "status": "A",
        "authorized_official_last_name": "GIPSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "PRESIDENT OF CORPORATION",
        "authorized_official_telephone_number": "708-352-1495",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019014566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in La Grange, IL
• Providers in La Grange, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2012; 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.