Active NPI
Patrick Ray Gilbert, D.M.D.
- Pediatric Dentistry
- Bowling Green, KY
National Provider Identifier
1528408077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 10022
- 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, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 12011987A | IN | MD | Dentist |
| 10022 | KY | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Pediatric Dentistry
- Bowling Green, KY
- NPI 1821107442
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.