Active NPI
Gaile E Hurdle, D.D.S.
- Dentist
- Camp Springs, MD
National Provider Identifier
1699097022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 10310
- Practice address
- 5833 Allentown Rd
Camp Springs, MD 20746-4570 - Phone
- (301) 702-0230
- Fax
- (301) 702-0357
- NPI assigned
- Feb 26, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 10310 | MD | Primary |
Addresses
Primary practice location
5833 Allentown Rd
Camp Springs, MD 20746-4570
Mailing address
5833 Allentown Rd
Camp Springs, MD 20746-4570
Phone (301) 702-0230
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
- Opted out of Medicare
- Yes, effective Apr 28, 2016 through Apr 28, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10310 | MD | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Park Place Professional Oral Health Center | Dentist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dentist
- Camp Springs, MD
- NPI 1164788402
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267142400000",
"number": "1699097022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5833 ALLENTOWN RD",
"city": "CAMP SPRINGS",
"state": "MD",
"postal_code": "207464570",
"telephone_number": "301-702-0230",
"fax_number": "301-702-0357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5833 ALLENTOWN RD",
"city": "CAMP SPRINGS",
"state": "MD",
"postal_code": "207464570",
"telephone_number": "301-702-0230",
"fax_number": "301-702-0357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HURDLE",
"first_name": "GAILE",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-26",
"last_updated": "2010-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "10310",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Camp Springs, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2010; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.