Ampt, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

AMPT, LLC

Doing business as

Gilberto and Hillis Dentistry

Practice address

2990 Raider Way
Poplar Bluff, MO 63901-5372

Phone

(573) 785-6699

Fax

(573) 785-3424

NPI assigned

Jun 12, 2024

Last updated

Jun 12, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Anderson Mark Gilberto, DDSNPI 1790270494

Title

Owner

Phone

(573) 785-6699

Specialties & licenses 1

Addresses

Other names 1

• Gilberto and Hillis Dentistry Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anderson Mark Gilberto, DDS

  • General Practice Dentistry
  • Poplar Bluff, MO
  • NPI 1790270494
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1718150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1780426445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2990 RAIDER WAY",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639015372",
            "telephone_number": "573-785-6699",
            "fax_number": "573-785-3424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2990 RAIDER WAY",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639015372",
            "telephone_number": "573-785-6699",
            "fax_number": "573-785-3424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMPT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-12",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "GILBERTO",
        "authorized_official_first_name": "ANDERSON",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-785-6699",
        "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": "Gilberto and Hillis Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Napoleon Almaria, M.D.
• Donna L Almond, D.O.
• Connie Jean Alsup, CRADAC
• Alternative Sleep Solution
• Amedisys Missouri, L.L.C. (Amedisys Home Health of Missouri)
• Richard Armen Amundsen, DPM
• Manish Anand, BDS,MDS,DMD
• Anchorpoint Medical of the Ozarks
• Bailey Shea Anderson
• Ciara Anderson

• Dental Clinic/Center in Poplar Bluff, MO
• Providers in Poplar Bluff, MO by specialty
• Dental Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.