Active NPI
Thomas Gilliam
- Hearing Instrument Specialist
- Silverdale, WA
National Provider Identifier
1962782391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 2493
- Practice address
- 10315 Silverdale Way
Silverdale, WA 98383-0309 - Phone
- (360) 307-8570
- Fax
- (360) 308-9789
- NPI assigned
- Aug 17, 2011
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 2493 | WA | Primary |
Addresses
Primary practice location
10315 Silverdale Way
Silverdale, WA 98383-0309
Mailing address
PO Box 309
Silverdale, WA 98383-0309
Phone (360) 307-8570
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 |
|---|---|---|---|
| 2493 | WA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313539200000",
"number": "1962782391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 309",
"city": "SILVERDALE",
"state": "WA",
"postal_code": "983830309",
"telephone_number": "360-307-8570",
"fax_number": "360-308-9789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10315 SILVERDALE WAY",
"city": "SILVERDALE",
"state": "WA",
"postal_code": "983830309",
"telephone_number": "360-307-8570",
"fax_number": "360-308-9789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLIAM",
"first_name": "THOMAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-08-17",
"last_updated": "2011-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "WA",
"license": "2493",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Silverdale, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.