Individual provider Active NPI

Gene R. Giles, D.D.S.

  • General Practice Dentistry
  • Alliance, NE
National Provider Identifier
1891865879
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4645 Issued in NE
Practice address
113 E 5TH St
Alliance, NE 69301-3407
Phone
(308) 762-1820
Fax
(308) 762-1827
NPI assigned
Nov 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 4645 NE Primary

Addresses

Primary practice location

113 E 5TH St
Alliance, NE 69301-3407

Mailing address

PO Box 607
Alliance, NE 69301-0607
Phone (308) 762-1820

Other identifiers 1

IdentifierTypeStateIssuer
47067230500MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20150506001196 NE Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6800115262

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4645NEMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891865879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 607",
            "city": "ALLIANCE",
            "state": "NE",
            "postal_code": "693010607",
            "telephone_number": "308-762-1820",
            "fax_number": "308-762-1827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 E 5TH ST",
            "city": "ALLIANCE",
            "state": "NE",
            "postal_code": "693013407",
            "telephone_number": "308-762-1820",
            "fax_number": "308-762-1827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILES",
        "first_name": "GENE",
        "middle_name": "R.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "4645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47067230500",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alliance, NE

Sources for this page

Verify at the official NPI Registry.