DR. JASON R GILLESPIE (NPI# 1770785594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770785594 |
| Entity Type | Individual |
| Full Name | DR. JASON R GILLESPIE |
| Credential | B.S., D.D.S., M.S. |
| Practice Address |
4118 Mccullough Ave Ste 11 San Antonio TX 78212-1905 |
| Practice Telephone | 2108281682 |
| Practice Fax Number | 2108281683 |
| Mailing Telephone | 2108281682 |
| Mailing Fax Number | 2108281683 |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
19001 | TX | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780998559 | Jason M Gillespie | Nurse Practitioner | 704 Iowa Ave, Dunlap, IA 51529-1336 | 2010-08-03 |
| Street Address |
4118 MCCULLOUGH AVE STE 11 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78212-1905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902451701 | Ninfa Hernandez Guzman | Assisted Living Facility | 325 E Locust St., San Antonio, TX 78212 | 2019-08-08 |
| 1366924730 | David Edward Dupuy | Occupational Therapist | 307 West Cypress, San Antonio, TX 78212 | 2018-09-03 |
| 1184100836 | Magenta Health, Inc. | Clinic/Center | 1222 North Main, Suite 115, San Antonio, TX 78212 | 2018-07-16 |
| 1497275762 | Dms Pharmacy, LLC | Pharmacy | 305 East Euclid, Suite 104, San Antonio, TX 78212 | 2017-06-27 |
| 1245693290 | Rebecca Lynn Sherman | Physical Therapist | 40 Ne Interstate 410 Loop, San Antonio, TX 78212 | 2016-03-29 |
| 1669886032 | Felise De Novo, PC | Counselor | 2400 Mccullough Ave., #12851, San Antonio, TX 78212 | 2014-06-13 |
| 1699102699 | Prem S. Kalidindi | Pharmacist | 2608 N. Main, Ste 1, San Antonio, TX 78212 | 2013-10-04 |
| 1073860052 | Sarah Nicole Percy Tovar | Dentist | 4118 Mccullough Ave., Suite 6, San Antonio, TX 78212 | 2012-08-09 |
| 1205181674 | Michael Jose Cavazos | Internal Medicine | 1100 Mccullough Ave Ste 300, San Antonio, TX 78212 | 2012-07-20 |
| 1730458381 | Neuriom, Pllc | Electrodiagnostic Medicine | 4007 Mccullough Ave, #243, San Antonio, TX 78212 | 2011-12-27 |
| Find all providers in zip 78212 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235738527 | Lorena Malpica | Dentist | 5602 Presidio Pkwy Apt 1411, San Antonio, TX 78249-3093 | 2020-10-19 |
| 1083263149 | Reconstructive Dental Specialists of Texas | Dentist | 235 E Hildebrand Ave Ste 200, San Antonio, TX 78212-2430 | 2019-09-10 |
| 1154817666 | Isra E Ahmed | Dentist | 2626 Babcock Rd Apt 2621, San Antonio, TX 78229-4842 | 2018-07-09 |
| 1811221989 | Jose F Cortes | Dentist | 14341 Blanco Rd, San Antonio, TX 75216 | 2009-09-23 |
| 1760679146 | Paul Michael Mclornan | Dentist | Clear Choice Dental Implant Center, 14100 San Pedro, Suite #110, San Antonio, TX 78232 | 2007-09-28 |
| 1124146618 | Wade Donald Smith | Dentist | 4875 Fredericksburg Road, San Antonio, TX 78229-3627 | 2007-03-26 |
| 1528182888 | Stephen Michael Schmitt | Dentist | 7826 Louis Pasteur Dr Ste 104, San Antonio, TX 78229-3410 | 2007-03-19 |
| 1831252493 | Joseph Michael Mahon | Dentist | 8219 Fredericksburg Rd, San Antonio, TX 78229-3355 | 2006-12-18 |
| 1356350433 | Charles Arthur Netti | Dentist | 4118 Mccullough Ave, Suite 12, San Antonio, TX 78212-1979 | 2006-08-06 |
| 1699313130 | Tejal Gohil | Dentist | 8210 Floyd Curl Dr, San Antonio, TX 78229-3923 | 2019-12-16 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78212 |
Please comment or provide details below to improve the information on DR. JASON R GILLESPIE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.