Gilmore Orthodontics Dental Practice
NPI 1518726702ActiveOrganization· Dentist, Orthodontics and Dentofacial Orthopedics· San Diego, CA
Dentist, Orthodontics and Dentofacial Orthopedics in San Diego, California, registered in NPPES in March 2024. The authorized official on file is Kelly Goddeyne, Financial Coordinator.
Overview
| NPI | 1518726702 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 18, 2024 |
| Last updated in NPPES | Mar 18, 2024 |
| Certified by provider | Mar 18, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics Primary | 1223X0400X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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