Organization Active NPI

Virdisland C Gamble DDS PA

  • General Practice Dentistry
  • Richmond, TX
National Provider Identifier
1821343591
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22934 Issued in TX
Legal business name
VIRDISLAND C GAMBLE DDS PA
Practice address
7120 FM 1464 Rd
Suite B
Richmond, TX 77407-6400
Phone
(713) 340-1300
Fax
(281) 271-8617
NPI assigned
Jul 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. Virdisland C Gamble, DDSNPI 1174855589
Title
Owner
Phone
(713) 340-1300

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 DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 22934 TX Primary

Addresses

Primary practice location

7120 FM 1464 Rd
Suite B
Richmond, TX 77407-6400

Mailing address

7120 FM 1464 Rd
Suite B
Richmond, TX 77407-6400
Phone (713) 340-1300

Other identifiers 1

IdentifierTypeStateIssuer
181558101MedicaidTX

National Provider Directory

National Provider Directory

Locations

7120 FM 1464 Rd
Ste B
Richmond, TX 77407
Phone (713) 340-1300

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1342656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1821343591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7120 FM 1464 RD",
            "address_2": "SUITE B",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774076400",
            "telephone_number": "713-340-1300",
            "fax_number": "281-271-8617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7120 FM 1464 RD",
            "address_2": "SUITE B",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774076400",
            "telephone_number": "713-340-1300",
            "fax_number": "281-271-8617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRDISLAND C GAMBLE DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-19",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "GAMBLE",
        "authorized_official_first_name": "VIRDISLAND",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-340-1300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "22934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "181558101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.