Richard D Gilmore, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D8937 Issued in OR

Practice address

834 SW 11TH St Ste 2
Redmond, OR 97756-2651

Phone

(541) 306-1591

NPI assigned

Jun 29, 2007

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

Enrolled in OR

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

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521763200000",
    "number": "1780881110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "834 SW 11TH ST STE 2",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977562633",
            "telephone_number": "541-504-5707",
            "fax_number": "541-504-0415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "834 SW 11TH ST STE 2",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977562651",
            "telephone_number": "541-306-1591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILMORE",
        "first_name": "RICHARD",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-29",
        "last_updated": "2018-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D8937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judy Naomi Gervais, LMT, AAS
• Annette Faye Gilbertson, LCSW
• Kyle Matthew Gillett, D.C.
• Brittney Gillyard, PMHNP-BC, FNP-C
• Donna Marie Gilmore, RN
• Greg Michael Ginsburg, D.M.D.
• Janell Schuetze Ginsburg, D.M.D.
• Claire Denise Giovanni
• Megan Elizabeth Gleason, MPT
• Kelly Gobler, COTA/L

• General Practice Dentistry in Redmond, OR
• Providers in Redmond, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2018; 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.