Individual provider Active NPI

David Rooker Gillham, DDS MSD

  • Pediatric Dentistry
  • Topeka, KS
National Provider Identifier
1972584282
Registry record updated Sep 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
4248 Issued in KS
Practice address
2445 SW Wanamaker Rd
Suite 103
Topeka, KS 66614-5470
Phone
(785) 478-0221
Fax
(785) 266-2208
NPI assigned
Nov 14, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 4248 KS Primary

Addresses

Primary practice location

2445 SW Wanamaker Rd
Suite 103
Topeka, KS 66614-5470

Mailing address

2445 SW Wanamaker Rd
Suite 103
Topeka, KS 66614-5470
Phone (785) 478-0221

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

NPI Registry JSON

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378944000000",
    "number": "1972584282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2445 SW WANAMAKER RD",
            "address_2": "SUITE 103",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666145470",
            "telephone_number": "785-478-0221",
            "fax_number": "785-266-2208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2445 SW WANAMAKER RD",
            "address_2": "SUITE 103",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666145470",
            "telephone_number": "785-478-0221",
            "fax_number": "785-266-2208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLHAM",
        "first_name": "DAVID",
        "middle_name": "ROOKER",
        "name_prefix": "Dr.",
        "credential": "DDS   MSD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-14",
        "last_updated": "2013-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "KS",
            "license": "4248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2013; 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.