David W. Gillett D.M.D., Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22353 Issued in CA

Legal business name

DAVID W. GILLETT D.M.D., INC.

Practice address

7080 Skyway
Ste a
Paradise, CA 95969-3928

Phone

(530) 877-6586

Fax

(530) 872-0929

NPI assigned

Jul 13, 2007

Last updated

Jul 13, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David W GillettNPI 1821056755

Title

President

Phone

(530) 877-6586

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Willard Gillett, DMD

  • Dentist
  • Paradise, CA
  • NPI 1821056755
  NPD (past) Authorized official

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184284800000",
    "number": "1639378318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7080 SKYWAY STE A",
            "city": "PARADISE",
            "state": "CA",
            "postal_code": "959693928",
            "telephone_number": "530-877-6586",
            "fax_number": "530-872-0929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7080 SKYWAY",
            "address_2": "STE A",
            "city": "PARADISE",
            "state": "CA",
            "postal_code": "959693928",
            "telephone_number": "530-877-6586",
            "fax_number": "530-872-0929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID W. GILLETT D.M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-13",
        "last_updated": "2007-07-13",
        "status": "A",
        "authorized_official_last_name": "GILLETT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-877-6586",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "22353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF CALIFORNIA",
            "identifier": "22353",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Datema
• David J Gajda MD a Professional Corporation
• David J Gajda MD a Professional Corporation (Eye Life Institute)
• David J Gajda, MD, a Professional Corporation (Eye Life Institue ASC)
• David J Gajda, MD, a Professional Corporation
• Richard Leslie Davies, M.D.
• Diane Burke Davis, LCSW
• Richard Michael Day, LCSW
• Etresia Francisca De Bruin
• Xochitl Lenz De la Cruz, PA

• General Practice Dentistry in Paradise, CA
• Providers in Paradise, CA by specialty
• General Practice Dentistry in California

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

Verify at the official NPI Registry.