Individual provider Active NPI

Gabriela Pita

  • Dentist
  • Amarillo, TX
National Provider Identifier
1861851826
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
32445 Issued in TX
Practice address
7649 Hillside Rd Ste 100
Amarillo, TX 79119-8382
Phone
(806) 358-7633
NPI assigned
Feb 18, 2016
Last updated
Nov 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 32445 TX Primary
General Practice Dentistry 1223G0001X 32445 TX

Addresses

Primary practice location

7649 Hillside Rd Ste 100
Amarillo, TX 79119-8382

Mailing address

7708 Pinnacle Dr
Amarillo, TX 79119-7494
Phone (281) 682-4618

Other practice location 1

710 23rd St
Canyon, TX 79015-4654
Phone (806) 421-0922

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20170803003765 TX Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 3870864135

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1455753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1861851826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7708 PINNACLE DR",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791197494",
            "telephone_number": "281-682-4618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7649 HILLSIDE RD STE 100",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791198382",
            "telephone_number": "806-358-7633"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "710 23rd St",
            "address_purpose": "LOCATION",
            "city": "Canyon",
            "state": "TX",
            "postal_code": "790154654",
            "country_code": "US",
            "telephone_number": "806-421-0922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PITA",
        "first_name": "GABRIELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-18",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "32445",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "32445",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.