Michael Jerome Gamotis, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

5867 Issued in AL

Practice address

301 Saint Joseph St
Mobile, AL 36602-4037

Phone

(251) 433-7717

Fax

(251) 433-9384

NPI assigned

Aug 4, 2011

Last updated

Aug 4, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• MTPM, LLC

  dba Mobile Bay Dental and Vision

  • General Practice Dentistry
  • Mobile, AL
  • NPI 1821475252
  Authorized official Same address or phone

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

{
    "created_epoch": "1312416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312416000000",
    "number": "1649559949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11020 DICK HIGBEE RD",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365324317",
            "telephone_number": "251-433-7717",
            "fax_number": "251-433-9384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 SAINT JOSEPH ST",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366024037",
            "telephone_number": "251-433-7717",
            "fax_number": "251-433-9384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMOTIS",
        "first_name": "MICHAEL",
        "middle_name": "JEROME",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-04",
        "last_updated": "2011-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "5867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Galloway
• Joseph Warren Galloway, M.D.
• Christopher J Gamard, M.D.
• Charlotte Ann Gamble, CRNP
• Kiffany Shantrel Gamble
• Joy M. Gandy, CRNP
• Roy E Gandy, MD
• William Christopher Gannaway Jr.
• Gail H. Gano, CRNP
• Kendrea Layne Garand, PHD, CSCD, CCC-SLP

• Dentist in Mobile, AL
• Providers in Mobile, AL by specialty
• Dentist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2011; 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.

Verify at the official NPI Registry.