Individual provider Active NPI

Daniel Robert Gilstrap, DDS

  • General Practice Dentistry
  • Independence, MO
National Provider Identifier
1831483353
Registry record updated Jun 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2011014435 Issued in MO
Practice address
19401 E 40 Hwy
Suite 180
Independence, MO 64055-5451
Phone
(816) 795-7007
NPI assigned
Jun 1, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2011014435 MO Primary

Addresses

Primary practice location

19401 E 40 Hwy
Suite 180
Independence, MO 64055-5451

Mailing address

19401 E 40 Hwy
Suite 180
Independence, MO 64055-5451
Phone (816) 795-7007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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

Enrollment IDStateProvider typePAC IDDetails
I20250821001935 KS Order and Referring Only - DentistPractitioner - Dentist 4385144757

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2011014435MOMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
The Dental Office, LLC General Practice Past Accepting new patients
Eastland Family Dental, LLC General Practice Past Accepting new patients
Louis L. Loos, DDS, PC General Practice Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1306886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306886400000",
    "number": "1831483353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19401 E 40 HWY",
            "address_2": "SUITE 180",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640555451",
            "telephone_number": "816-795-7007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19401 E 40 HWY",
            "address_2": "SUITE 180",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640555451",
            "telephone_number": "816-795-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILSTRAP",
        "first_name": "DANIEL",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-01",
        "last_updated": "2011-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2011014435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, MO

Sources for this page

Verify at the official NPI Registry.