Individual provider Active NPI

Deboria Frances Gill, D.D.S.

  • General Practice Dentistry
  • Tulsa, OK
National Provider Identifier
1568467504
Registry record updated Jan 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5426 Issued in OK
Practice address
6141 E 91St St
Ste 204
Tulsa, OK 74137-3104
Phone
(918) 747-4444
Fax
(918) 747-1140
NPI assigned
Jun 16, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5426 OK Primary

Addresses

Primary practice location

6141 E 91St St
Ste 204
Tulsa, OK 74137-3104

Mailing address

6141 E 91St St
Ste 204
Tulsa, OK 74137-3104
Phone (918) 747-4444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160209000656 OK Order and Referring Only - DentistPractitioner - Dentist 0749584928

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453680000000",
    "number": "1568467504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6141 E 91ST ST",
            "address_2": "STE 204",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741373104",
            "telephone_number": "918-747-4444",
            "fax_number": "918-747-1140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6141 E 91ST ST",
            "address_2": "STE 204",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741373104",
            "telephone_number": "918-747-4444",
            "fax_number": "918-747-1140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILL",
        "first_name": "DEBORIA",
        "middle_name": "FRANCES",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-16",
        "last_updated": "2016-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "5426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.