Active NPI
Jason Gile, D.D.S., M.D.
- Dentist
- Chula Vista, CA
National Provider Identifier
1982843850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 55516
- Practice address
- 1040 Tierra del Rey Ste 109
Chula Vista, CA 91910-7865 - Phone
- (619) 421-2322
- Fax
- (619) 421-3882
- NPI assigned
- Feb 17, 2009
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 55516 | CA | Primary |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 55516 | CA | |
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | A113979 | CA |
Addresses
Primary practice location
1040 Tierra del Rey Ste 109
Chula Vista, CA 91910-7865
Mailing address
1040 Tierra del Rey Ste 109
Chula Vista, CA 91910-7865
Phone (619) 421-2322
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Oct 15, 2015 through Oct 15, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55516 | CA | MD | Pharmacist |
| A113979 | CA | MD | Oral & Maxillofacial Surgery (D.M.D.) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richard S. Mowry, DMD | Past | Accepting new patients | |
| Dr's Eckstein, Oleksy & Gile | Oral and Maxillofacial Surgery | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Center for Oral & Facial Surgery
- Oral and Maxillofacial Surgery (Dentist)
- San Diego, CA
- NPI 1336659747
-
dba Rancho Del Rey Oral and Facial Surgery Center
- Oral and Maxillofacial Surgery Clinic/Center
- Chula Vista, CA
- NPI 1659436012
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717372800000",
"number": "1982843850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1040 TIERRA DEL REY STE 109",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919107865",
"telephone_number": "619-421-2322",
"fax_number": "619-421-3882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1040 TIERRA DEL REY STE 109",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919107865",
"telephone_number": "619-421-2322",
"fax_number": "619-421-3882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILE",
"first_name": "JASON",
"name_prefix": "Dr.",
"credential": "D.D.S., M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-02-17",
"last_updated": "2024-06-03",
"certification_date": "2024-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "55516",
"primary": true
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "CA",
"license": "55516",
"primary": false
},
{
"code": "204E00000X",
"taxonomy_group": "",
"desc": "Oral & Maxillofacial Surgery",
"state": "CA",
"license": "A113979",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chula Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.