Jeffrey I. Gaule, D.D.S. – General Practice Dentistry

Key facts

NPI: 1811234396
Entity type: Individual (NPI type 1)
Primary specialty: General Practice Dentistry 1223G0001X
License: 019-017454 (IL)
Practice address: 1105 W Belmont Ave
Chicago, IL 60657-3312
Phone: (773) 281-7550
Fax: (773) 281-0808
NPI assigned: Jan 3, 2013
Sex: Male
Sole proprietor: No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Jeffrey Gaule DDS LTD General Practice Dentistry · Chicago, IL · NPI 1801052840

NPD (past) Authorized official GENERAL PRACTICE

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
019-017454	IL	MD	General Practice Dentistry

Practice roles

Organization	Specialty	Status	New patients
Jeffrey Gaule DDS LTD	General Practice	Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
General Practice Dentistry	1223G0001X	019-017454	IL	Yes

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 3, 2013.

{
    "created_epoch": "1357171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357171200000",
    "number": "1811234396",
    "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": {
        "last_name": "GAULE",
        "first_name": "JEFFREY",
        "middle_name": "I.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-03",
        "last_updated": "2013-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019-017454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

All providers in Chicago, IL · General Practice Dentistry in Illinois

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 3, 2013. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.