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Deactivated NPI 1871596155 Deactivated / Inactive NPI Male Practitioner

Dr. Gerald A Fillmore , DDS, MS

Specialist • Chico, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Gerald Fillmore has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 31, 2005
NPI Deactivation Date November 07, 2022
Total Practice Duration ~17 Years of Practice (2005 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Gerald Fillmore, DDS, MS was a registered Specialist practicing in Chico, CA. Throughout an active medical career spanning 17 years, Dr. Fillmore provided care at the practice location at 250 VALLOMBROSA AVE until profile deactivation on 2022-11-07.

Practice Location & Contact Primary Location

Practice Address

250 Vallombrosa Ave
Ste 300

Chico, CA 959263976

Telephone 5308938201
Fax 5308933968

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Chico, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 35.7 Yrs
State Avg: 38.0 Yrs
Regional Practice Density
27 Specialists

Practicing in Chico, CA (6446 Statewide)

Telehealth Adoption Rate
11.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License CA 21987

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Galen Fillmore , DDS, MS

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1831390228

Doctor of Dental Surgery, Master of Science

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated November 07, 2022

Record deactivated on November 07, 2022

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 250 VALLOMBROSA AVE, STE 300, CHICO, CA 959263976 (Tel: 5308938201)

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Updated Business Mailing Address July 08, 2007

Registered at 250 VALLOMBROSA AVE, STE 300, CHICO, CA 959263976 (Tel: 5308938201)

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Provider Name / Credentials Updated July 08, 2007

Recorded as GERALD FILLMORE, D.D.S,M.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #21987 in CA)

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Initial NPI Registration & Enumeration May 31, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1871596155
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 31, 2005
Last Update: July 08, 2007
Deactivation Date: November 07, 2022

Mailing Address

250 Vallombrosa Ave, Ste 300

Chico, CA 959263976

Phone: 5308938201

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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