Dennis Matthew Gillespie, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

6290 Issued in IA

Practice address

1317 N Elm
Ottumwa, IA 52501

Phone

(641) 682-8518

Fax

(641) 683-7599

NPI assigned

Mar 31, 2008

Last updated

May 13, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr Dennis M Gillespie

  • Dentist
  • Ottumwa, IA
  • NPI 1558417469
  NPD (past) Authorized official

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210636800000",
    "number": "1922270818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 N ELM",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "52501",
            "telephone_number": "641-682-8518",
            "fax_number": "641-683-7599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 N ELM",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "52501",
            "telephone_number": "641-682-8518",
            "fax_number": "641-683-7599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLESPIE",
        "first_name": "DENNIS",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-31",
        "last_updated": "2008-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IA",
            "license": "6290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0145748",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FED PROVIDER NUMBER",
            "identifier": "14574",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dawn Noel Garrett
• Jenna Leigh Genck, NP-C
• Genoa Healthcare LLC
• Get Well Clinic LLP
• Nichole Danielle Gevock, D.C.
• Misty Dawn Gillette, BA, CADC
• Mark Gillman, BA, CADC
• Melissa Gingrich, ARNP
• Lorra Rea Gire, LMSW
• Laurie L Glover, APRN, CPNP

• Dentist in Ottumwa, IA
• Providers in Ottumwa, IA by specialty
• Dentist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; 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.