Individual provider

John Gillis, DMD

Oral and Maxillofacial Surgery (Dentist) Medicare enrolled

John Gillis, DMD is a provider specialising in Oral and Maxillofacial Surgery (Dentist) in Phoenix, AZ, registered under NPI 1083673610.

Getting there

The practice address on file is 1441 N 12TH ST FL 23, Phoenix, AZ 85006. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1441 N 12TH ST FL 23, Phoenix, AZ 85006 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
6147 AZ Oral and Maxillofacial Surgery (Dentist) primary

This provider holds licence 6147 issued in AZ. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Oral Surgery
PAC ID
5193745172

Medicare enrolment is recorded as approved under the provider type Practitioner - Oral Surgery. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Oral and Maxillofacial Surgery covers

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. NUCC Health Care Provider Taxonomy, code 1223S0112X
Dental Providers Dentist Oral and Maxillofacial Surgery

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1083673610 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateMar 22, 2006
Last updatedJan 17, 2022
StatusActive
Sole proprietorNo
CredentialDMD
Practice address 1441 N 12TH ST FL 23
Phoenix, AZ 85006
(602) 521-5150
Fax (602) 521-5151
Mailing address 1111 E MCDOWELL RD
Phoenix, AZ 85006
Other identifiers 931982 (AZ)
The last update on file is Jan 17, 2022. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1083673610 passes the NPI check digit test The final digit 0 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 8 3 6 7 3 6 1
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 7 3 3 7 6 6 2

Sum = 60 · next multiple of 10 = 60 · check digit = 0 · actual last digit = 0

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1083673610?
NPI 1083673610 is the National Provider Identifier assigned to John Gillis, DMD in Phoenix, AZ. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Oral and Maxillofacial Surgery cover?
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
How do I contact John Gillis, DMD?
The phone number on file with NPPES is (602) 521-5150, last updated Jan 17, 2022. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does John Gillis, DMD accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1083673610 a valid number?
Yes. 1083673610 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.