Gilmore Orthodontics Dental Practice

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

GILMORE ORTHODONTICS DENTAL PRACTICE

Doing business as

Gilmore Orthodontics

Practice address

9870 Hibert St Ste D9
San Diego, CA 92131-1091

Phone

(858) 433-7377

NPI assigned

Mar 18, 2024

Last updated

Mar 18, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kelly Goddeyne

Title

Financial Coordinator

Phone

(858) 433-7377

Specialties & licenses 1

Addresses

Other names 1

• Gilmore Orthodontics Doing business as

Locations

Practitioners 3

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.

• Bilal Ashraf Chaudhary, DDS, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • San Diego, CA
  • NPI 1790671469
  NPD
• David Scott Gilmore, D.D.S., M.S.D.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • San Diego, CA
  • NPI 1619957172
  NPD
• Kevin Jahng, DDS

  • Dentist
  • San Diego, CA
  • NPI 1740050244
  NPD

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

{
    "created_epoch": "1710720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1518726702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9870 HIBERT ST STE D9",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921311091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9870 HIBERT ST STE D9",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921311091",
            "telephone_number": "858-433-7377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILMORE ORTHODONTICS DENTAL PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-18",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A",
        "authorized_official_last_name": "GODDEYNE",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "FINANCIAL COORDINATOR",
        "authorized_official_telephone_number": "858-433-7377"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gilmore Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ryan Patrick Gillis, M.D.
• Frank D. Gilman, M.D.
• Karl Gilman
• Cody James Gilmartin, IDC
• Megan Gilmartin, NP
• Amelia Gilmore
• Ashley Gilmore
• Comelia Marie Gilmore, CPHT
• David Scott Gilmore, D.D.S., M.S.D.
• Jeannette Marie Gilmore, LMFT

• Orthodontics and Dentofacial Orthopedics Dentistry in San Diego, CA
• Providers in San Diego, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.