Active NPI
Michael Gillespie
- General Practice Dentistry
- Waynesville, NC
National Provider Identifier
1558393934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6343
- Practice address
- 611 S Haywood St
Waynesville, NC 28786-3198 - Phone
- (828) 456-9007
- NPI assigned
- Jul 7, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6343 | NC | Primary |
Addresses
Primary practice location
611 S Haywood St
Waynesville, NC 28786-3198
Mailing address
611 S Haywood St
Waynesville, NC 28786-3198
Phone (828) 456-9007
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 93191 | Medicaid | NC |
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 |
|---|---|---|---|
| 6343 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael D. Gillespie, DDS | General Practice | Past | Accepting new patients |
| Andrew P Sharman DDS and Serene C Nagia DDS, PLLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Waynesville, NC
- NPI 1871789578
-
- Dental Clinic/Center
- Waynesville, NC
- NPI 1205655537
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1558393934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 S HAYWOOD ST",
"city": "WAYNESVILLE",
"state": "NC",
"postal_code": "287863198",
"telephone_number": "828-456-9007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 S HAYWOOD ST",
"city": "WAYNESVILLE",
"state": "NC",
"postal_code": "287863198",
"telephone_number": "828-456-9007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLESPIE",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "6343",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "93191",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Waynesville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.