Active NPI
R Todd Gililland, DMD
- Orthodontics and Dentofacial Orthopedics Dentistry
- Oxford, MS
National Provider Identifier
1811102155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- OR-365-02
- Practice address
- 2408 S Lamar Blvd,
Ste 2
Oxford, MS 38655 - Phone
- (662) 234-4822
- Fax
- (662) 234-9032
- NPI assigned
- May 11, 2007
- Last updated
- Aug 31, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | OR-365-02 | MS | Primary |
Addresses
Primary practice location
2408 S Lamar Blvd,
Ste 2
Oxford, MS 38655
Mailing address
P O Box 1218
Oxford, MS 38655-1218
Phone (662) 234-4822
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OR-365-02 | MS | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Go Orthodontics Partnership | Orthodontics and Dentofacial Orthopedics | Past | Accepting new patients |
| Gililland Orthodontics | Orthodontics and Dentofacial Orthopedics | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Oxford, MS
- NPI 1801000609
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Oxford, MS
- NPI 1356604664
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251676800000",
"number": "1811102155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P O BOX 1218",
"city": "OXFORD",
"state": "MS",
"postal_code": "386551218",
"telephone_number": "662-234-4822",
"fax_number": "662-234-9032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2408 S LAMAR BLVD,",
"address_2": "STE 2",
"city": "OXFORD",
"state": "MS",
"postal_code": "38655",
"telephone_number": "662-234-4822",
"fax_number": "662-234-9032"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILILLAND",
"first_name": "R",
"middle_name": "TODD",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-11",
"last_updated": "2009-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "MS",
"license": "OR-365-02",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oxford, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.