Active NPI
Jody Annette Gill, DMD
- Dentist
- Princeton, TX
National Provider Identifier
1992008932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 26175
- Practice address
- 670 W Princeton Dr Ste 600
Princeton, TX 75407-2556 - Phone
- (469) 795-0209
- Fax
- (469) 378-3228
- NPI assigned
- Dec 14, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D9525 | OR | |
| Dentist | 122300000X | 26175 | TX | Primary |
Addresses
Primary practice location
670 W Princeton Dr Ste 600
Princeton, TX 75407-2556
Mailing address
3779 Navarro Way
Frisco, TX 75034-8446
Phone (253) 241-1825
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 |
|---|---|---|---|
| 26175 | TX | MD | Dentist |
| D9525 | OR | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Princeton Dental and Orthodontics PLLC | Dentist | Current | Accepting new patients |
Locations
670 W Princeton Dr
Ste 600
Princeton, TX 75407
Phone (469) 299-4817
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Princeton, TX
- NPI 1235673518
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657756800000",
"number": "1992008932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3779 NAVARRO WAY",
"city": "FRISCO",
"state": "TX",
"postal_code": "750348446",
"telephone_number": "253-241-1825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "670 W PRINCETON DR STE 600",
"city": "PRINCETON",
"state": "TX",
"postal_code": "754072556",
"telephone_number": "469-795-0209",
"fax_number": "469-378-3228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILL",
"first_name": "JODY",
"middle_name": "ANNETTE",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-14",
"last_updated": "2022-07-14",
"certification_date": "2022-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OR",
"license": "D9525",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "26175",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Princeton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.