Todd Gillan, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901012791 Issued in MI

Practice address

2186 W Main St
Lowell, MI 49331-8637

Phone

(616) 897-8491

Fax

(616) 897-8350

NPI assigned

Aug 19, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in MI

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760596290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2186 W MAIN ST",
            "city": "LOWELL",
            "state": "MI",
            "postal_code": "493318637",
            "telephone_number": "616-897-8491",
            "fax_number": "616-897-8350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2186 W MAIN ST",
            "city": "LOWELL",
            "state": "MI",
            "postal_code": "493318637",
            "telephone_number": "616-897-8491",
            "fax_number": "616-897-8350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLAN",
        "first_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901012791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul R Gauthier, DO
• Tegan Gaye
• Lydia Joan Gerard, BSN, RN
• Amanda Germanese
• Heather Gietzen, DMD, MS
• Nicole Lynn Gillikin, DPT
• Ann Goodfellow, LPC
• Ashley A Goodwin, RN, BSN, FAE
• Heidi Marie Gordon, O.D.
• Grand River Orthodontics, PC

• General Practice Dentistry in Lowell, MI
• Providers in Lowell, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.