Organization Active NPI

Jeffrey Gaule DDS LTD

  • General Practice Dentistry
  • Chicago, IL
National Provider Identifier
1801052840
Registry record updated Nov 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019017454 Issued in IL
Legal business name
JEFFREY GAULE DDS LTD
Practice address
1105 W Belmont Ave
Chicago, IL 60657-3312
Phone
(773) 281-7550
Fax
(773) 281-0808
NPI assigned
Jul 30, 2008
Last updated
Nov 25, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2014

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

Authorized official

Name
Dr. Jeffrey I Gaule, DDSNPI 1811234396
Title
President
Phone
(773) 281-7550

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019017454 IL Primary

Addresses

Primary practice location

1105 W Belmont Ave
Chicago, IL 60657-3312

Mailing address

1105 W Belmont Ave
Chicago, IL 60657-3312
Phone (773) 281-7550

National Provider Directory

National Provider Directory

Locations

1105 W Belmont Ave
Chicago, IL 60657
Phone (773) 281-7550

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1217376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416873600000",
    "number": "1801052840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 W BELMONT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573312",
            "telephone_number": "773-281-7550",
            "fax_number": "773-281-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 W BELMONT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573312",
            "telephone_number": "773-281-7550",
            "fax_number": "773-281-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY GAULE DDS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-30",
        "last_updated": "2014-11-25",
        "status": "A",
        "authorized_official_last_name": "GAULE",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-281-7550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019017454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; 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.