Individual provider Active NPI

Danielle Gladneice Gill, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Greenville, SC
National Provider Identifier
1659714228
Registry record updated Jun 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
9818 Issued in SC
Practice address
515 Worley Rd
Greenville, SC 29609-3753
Phone
(864) 714-1800
NPI assigned
Apr 12, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 34437 TX
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 11641 NC
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 9819 SC
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 11641 NC
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 9818 SC Primary

Addresses

Primary practice location

515 Worley Rd
Greenville, SC 29609-3753

Mailing address

102 Cameron Dr
Kings Mountain, NC 28086-8912
Phone (704) 718-8989

Other practice location 1

8738 University City Blvd
Charlotte, NC 28213-3558
Phone (704) 718-8989

Other practice location 2

1350 Grove Park Dr
Orangeburg, SC 29115-2455
Phone (803) 855-0726

Other practice location 3

131 Dorman Centre Dr # A-B
Spartanburg, SC 29301-2626
Phone (864) 576-6600

Other names 1

  • Danielle Gladneice Gill Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Dec 4, 2019 through Dec 4, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
9818SCMDOral and Maxillofacial Surgery (Dentist)
9819SCMDOral and Maxillofacial Surgery (Dentist)
34437TXMDOral and Maxillofacial Surgery (Dentist)
11641NCMDOral & Maxillofacial Surgery (D.M.D.)

Practice roles

OrganizationSpecialtyStatusNew patients
DRS Farrell, Farrell, Nale, Cook, Kapitan, Mohamed, Franco, Wessel, Ho Oral and Maxillofacial Surgery Past Accepting new patients
DRS Farrell, Farrell, Nale, Cook, Kapitan, Mohamed, Franco, Wessel, Ho Oral & Maxillofacial Surgery PastSince Mar 13, 2022 Accepting new patients
Dental Associates of Spartanburg, P.C. Past Accepting new patients

Organizations & group practices 3

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": "1365724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686873600000",
    "number": "1659714228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 CAMERON DR",
            "city": "KINGS MOUNTAIN",
            "state": "NC",
            "postal_code": "280868912",
            "telephone_number": "704-718-8989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 WORLEY RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296093753",
            "telephone_number": "864-714-1800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8738 University City Blvd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282133558",
            "country_code": "US",
            "telephone_number": "704-718-8989",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1350 Grove Park Dr",
            "address_purpose": "LOCATION",
            "city": "Orangeburg",
            "state": "SC",
            "postal_code": "291152455",
            "country_code": "US",
            "telephone_number": "803-855-0726",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "131 Dorman Centre Dr # A-B",
            "address_purpose": "LOCATION",
            "city": "Spartanburg",
            "state": "SC",
            "postal_code": "293012626",
            "country_code": "US",
            "telephone_number": "864-576-6600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILL",
        "first_name": "DANIELLE",
        "middle_name": "GLADNEICE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-12",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "34437",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NC",
            "license": "11641",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "SC",
            "license": "9819",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "NC",
            "license": "11641",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "SC",
            "license": "9818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "GILL",
            "middle_name": "GLADNEICE",
            "credential": "DMD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.