Active NPI
Nicholas M Chiotellis, DDS
- General Practice Dentistry
- Gilroy, CA
National Provider Identifier
1639192818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 41004
- Practice address
- 700 W 6TH St
Suite N
Gilroy, CA 95020-6014 - Phone
- (408) 847-7358
- Fax
- (408) 847-2874
- NPI assigned
- Jul 26, 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 | 41004 | CA | Primary |
Addresses
Primary practice location
700 W 6TH St
Suite N
Gilroy, CA 95020-6014
Mailing address
700 W 6TH St
Suite N
Gilroy, CA 95020-6014
Phone (408) 847-7358
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150425000237 | CA | Order and Referring Only - Oral Surgery | 2062731037 |
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": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206316800000",
"number": "1639192818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 W 6TH ST",
"address_2": "SUITE N",
"city": "GILROY",
"state": "CA",
"postal_code": "950206014",
"telephone_number": "408-847-7358",
"fax_number": "408-847-2874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 W 6TH ST",
"address_2": "SUITE N",
"city": "GILROY",
"state": "CA",
"postal_code": "950206014",
"telephone_number": "408-847-7358",
"fax_number": "408-847-2874"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIOTELLIS",
"first_name": "NICHOLAS",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2008-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "41004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gilroy, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.