Charles Gilliam, DDS
NPI 1205972924 · Periodontics · Lubbock, TX
Enrolled with Medicare as Order and Referring Only - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Charles Gilliam, DDS is a Periodontics provider in Lubbock, TX (NPI 1205972924).
Provider details
- NPI number
- 1205972924
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 12571 (TX)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-01-29
- Last updated
- 2007-07-08
Frequently asked questions
- What is Charles Gilliam's NPI number?
- Charles Gilliam's National Provider Identifier (NPI) is 1205972924, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Charles Gilliam's specialty?
- Charles Gilliam is listed in the NPPES registry with a primary specialty of Periodontics (Dental Providers).
- Where is Charles Gilliam located?
- Charles Gilliam's practice location on file with NPPES is 6500 Quaker Ave Ste E, Lubbock, TX 79413-5138.
- What is Charles Gilliam's phone number?
- The practice phone number listed in the NPPES registry for Charles Gilliam is (806) 797-1275.
- Does Charles Gilliam accept Medicare?
- Charles Gilliam is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Charles Gilliam's NPI active?
- Yes — Charles Gilliam's NPI (1205972924) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.