NPIMap

Organization Active NPI

Travis L. Gillespie, DDS, P.a.

  • Dentist
  • Hutchinson, KS
National Provider Identifier
1619425154
Registry record updated Sep 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
60666 Issued in KS
Legal business name
TRAVIS L. GILLESPIE, DDS, P.A.
Practice address
200 E 30TH Ave
Hutchinson, KS 67502-2409
Phone
(620) 663-9133
NPI assigned
Sep 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2016

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

Authorized official

Name
Travis Gillespie
Title
President
Phone
(620) 663-9133

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 60666 KS Primary

Addresses

Primary practice location

200 E 30TH Ave
Hutchinson, KS 67502-2409

Mailing address

200 E 30TH Ave
Hutchinson, KS 67502-2409

National Provider Directory

National Provider Directory

Locations

200 E 30th Ave
Hutchinson, KS 67502
Phone (620) 663-9133

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1473724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473724800000",
    "number": "1619425154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E 30TH AVE",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675022409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E 30TH AVE",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675022409",
            "telephone_number": "620-663-9133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAVIS L. GILLESPIE, DDS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-13",
        "last_updated": "2016-09-13",
        "status": "A",
        "authorized_official_last_name": "GILLESPIE",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "620-663-9133"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "KS",
            "license": "60666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hutchinson, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; 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.