Omid Gilani, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D-4955 Issued in ID

Practice address

1558 N Crestmont Dr Ste a
Meridian, ID 83642

Phone

(208) 519-3474

NPI assigned

Jul 26, 2018

Last updated

Apr 23, 2019By the provider in NPPES

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1532563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555977600000",
    "number": "1710464219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1558 N CRESTMONT DR STE A",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836422194",
            "telephone_number": "208-519-3474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1558 N CRESTMONT DR STE A",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "83642",
            "telephone_number": "208-519-3474"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8321 W Overland Rd",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837091640",
            "country_code": "US",
            "telephone_number": "208-985-2796",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILANI",
        "first_name": "OMID",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-26",
        "last_updated": "2019-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D-4955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Salome Waitherero Gichuru
• Maycee Gielow, DO
• Austin Giesige, DDS
• John Perry Giffen, M.D.
• Melissa Gifford, CADC
• Mary Christine Gilbert, RN
• Gregory Francis Gildea, DO
• Camryn Ann Giles
• Jonathan V. Giles, MD
• Kennedy Poplawski Gillespie, DPT

• General Practice Dentistry in Meridian, ID
• Providers in Meridian, ID by specialty
• General Practice Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2019; 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.