Active NPI
Chad Gidel, DMD
- Dentist
- Colusa, CA
National Provider Identifier
1881116655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 101553
- Practice address
- 3000 Davison CT
Colusa, CA 95932-3271 - Phone
- (530) 458-2101
- NPI assigned
- Jul 12, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 101553 | CA | Primary |
Addresses
Primary practice location
3000 Davison CT
Colusa, CA 95932-3271
Mailing address
3000 Davison CT
Colusa, CA 95932-3271
Phone (530) 458-2101
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 |
|---|---|---|---|
| 101553 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1881116655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 DAVISON CT",
"city": "COLUSA",
"state": "CA",
"postal_code": "959323271",
"telephone_number": "530-458-2101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 DAVISON CT",
"city": "COLUSA",
"state": "CA",
"postal_code": "959323271",
"telephone_number": "530-458-2101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIDEL",
"first_name": "CHAD",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-07-12",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "101553",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colusa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.