NPIMap

Organization Active NPI

Dylan C Gaillard, DDS, LLC

  • Dental Clinic/Center
  • Omaha, NE
National Provider Identifier
1700373602
Registry record updated Apr 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DYLAN C GAILLARD, DDS, LLC
Practice address
2526 S 140TH St
Omaha, NE 68144-2339
Phone
(402) 333-6080
Fax
(402) 333-6024
NPI assigned
Apr 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2018

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

Authorized official

Name
Dr. Dylan C Gaillard, DDSNPI 1821376765
Title
Dentist/Owner
Phone
(402) 330-6080

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

2526 S 140TH St
Omaha, NE 68144-2339

Mailing address

2526 S 140TH St
Omaha, NE 68144-2339
Phone (402) 333-6080

Other names 1

  • Georgetowne Family Dentistry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dylan C Gaillard DDS LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1523836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523836800000",
    "number": "1700373602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2526 S 140TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681442339",
            "telephone_number": "402-333-6080",
            "fax_number": "402-333-5024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2526 S 140TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681442339",
            "telephone_number": "402-333-6080",
            "fax_number": "402-333-6024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYLAN C GAILLARD, DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-16",
        "last_updated": "2018-04-16",
        "status": "A",
        "authorized_official_last_name": "GAILLARD",
        "authorized_official_first_name": "DYLAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "402-330-6080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Georgetowne Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2018; 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.