Dennis Herbert Gillespie, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DE 60369656 Issued in WA

Practice address

109 S. 65TH Ave.
Suite 104
Ridgefield, WA 98642

Phone

(360) 887-2333

Fax

(360) 887-0607

NPI assigned

Jun 12, 2013

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Gillespie Dentistry LLC

  • Dental Clinic/Center
  • Vancouver, WA
  • NPI 1124620158
  NPD
• Stephen B Gillespie DDS LLC

  • General Practice Dentistry
  • Vancouver, WA
  • NPI 1215255518
  NPD (past)

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

{
    "created_epoch": "1370995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370995200000",
    "number": "1710325675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 S. 65TH AVE.",
            "address_2": "SUITE 104",
            "city": "RIDGEFIELD",
            "state": "WA",
            "postal_code": "98642",
            "telephone_number": "360-887-2333",
            "fax_number": "360-887-0607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 S. 65TH AVE.",
            "address_2": "SUITE 104",
            "city": "RIDGEFIELD",
            "state": "WA",
            "postal_code": "98642",
            "telephone_number": "360-887-2333",
            "fax_number": "360-887-0607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLESPIE",
        "first_name": "DENNIS",
        "middle_name": "HERBERT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-12",
        "last_updated": "2013-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE 60369656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Fox, RDH
• Katie Gayton, CPC
• Generations Counseling
• Angela Giddings, DAOM
• Robert Gilbert, O.D.
• Karlee Gilmore, RDH
• Robert M. Gonzales, M.D.
• Linda Linnea Goode Miller, MA, LMHC
• Dawn Gosney
• Neal Govani

• Dentist in Ridgefield, WA
• Providers in Ridgefield, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2013; 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.