Individual provider Active NPI

Patrick Ray Gilbert, D.M.D.

  • Pediatric Dentistry
  • Bowling Green, KY
National Provider Identifier
1528408077
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
10022 Issued in KY
Practice address
120 Callaway CT
Bowling Green, KY 42103-2540
Phone
(270) 782-0716
Fax
(270) 746-9603
NPI assigned
Jun 28, 2013
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 12011987A IN
Pediatric Dentistry 1223P0221X 10022 KY Primary

Addresses

Primary practice location

120 Callaway CT
Bowling Green, KY 42103-2540

Mailing address

120 Callaway CT
Bowling Green, KY 42103-2540
Phone (270) 782-0716

Other practice location 1

1337 N Race St Ste B
Glasgow, KY 42141-3427
Phone (270) 629-2716

Other practice location 2

2918 S Reed Rd
Kokomo, IN 46902-3991
Phone (765) 455-9800

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

LicenseStateTypeSpecialty
12011987AINMDDentist
10022KYMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
DRS Erin and Randy Elliott Pediatric Dentistry Pediatric Dentistry Past Accepting new patients

Organizations & group practices 1

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": "1372377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1528408077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 CALLAWAY CT",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421032540",
            "telephone_number": "270-782-0716",
            "fax_number": "270-746-9603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 CALLAWAY CT",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421032540",
            "telephone_number": "270-782-0716",
            "fax_number": "270-746-9603"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1337 N Race St Ste B",
            "address_purpose": "LOCATION",
            "city": "Glasgow",
            "state": "KY",
            "postal_code": "421413427",
            "country_code": "US",
            "telephone_number": "270-629-2716",
            "fax_number": "270-629-2720",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2918 S Reed Rd",
            "address_purpose": "LOCATION",
            "city": "Kokomo",
            "state": "IN",
            "postal_code": "469023991",
            "country_code": "US",
            "telephone_number": "765-455-9800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILBERT",
        "first_name": "PATRICK",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-28",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12011987A",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "KY",
            "license": "10022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.