Individual provider Active NPI

Caleb Edward Gilman, D.D.S.

  • Dentist
  • Indianapolis, IN
National Provider Identifier
1578055091
Registry record updated May 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12012932A Issued in IN
Practice address
8845 Boehning LN
Indianapolis, IN 46219-1974
Phone
(317) 899-1112
NPI assigned
May 31, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 12012932A IN Primary

Addresses

Primary practice location

8845 Boehning LN
Indianapolis, IN 46219-1974

Mailing address

914 E County Road 1175 N
Farmersburg, IN 47850-8012

Other practice location 1

3401 S 7th St
Terre Haute, IN 47802-4016
Phone (812) 238-1908

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20180620001564 IN Order and Referring Only - DentistPractitioner - Dentist 5496000135

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12012932AINMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Terry J. Gilman, D.D.S. 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1527724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527724800000",
    "number": "1578055091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 E COUNTY ROAD 1175 N",
            "city": "FARMERSBURG",
            "state": "IN",
            "postal_code": "478508012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8845 BOEHNING LN",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462191974",
            "telephone_number": "317-899-1112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3401 S 7th St",
            "address_purpose": "LOCATION",
            "city": "Terre Haute",
            "state": "IN",
            "postal_code": "478024016",
            "country_code": "US",
            "telephone_number": "812-238-1908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILMAN",
        "first_name": "CALEB",
        "middle_name": "EDWARD",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-31",
        "last_updated": "2018-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12012932A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.