DR. EVAN GILMARTIN DMD
NPI 1669164562
Dentist in Fort Sam Houston, TX

Active since May 22, 2023PECOS Enrolled
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234(210) 916-0332 Get Directions Write a Review

NPPES record last updated: June 10, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Evan Gilmartin Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. EVAN GILMARTIN DMD (NPI 1669164562) is an individual dentist in Fort Sam Houston, Texas, licensed in Texas (41802) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in Jbsa Lackland.

NPPES Registry Identity

NPI1669164562
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. EVAN GILMARTINCredential: DMD
Location Address3551 ROGER BROOKE DRFort Sam Houston, TX 78234-4504
Mailing Address3551 Roger Brooke DrFort Sam Houston, TX 78234-4504 · (210) 808-3735
Sole ProprietorNo
Enumeration DateMay 22, 2023
Last NPPES UpdateJune 10, 2026
NPPES CertifiedJune 10, 2026
NPI 1669164562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in TX · 41802
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
3551 ROGER BROOKE DR, Fort Sam Houston, TX 78234

Secondary Practice Location 1

Location 11100 Wilford Hall LoopJbsa Lackland, TX 78236-5638 · Phone (210) 292-7878

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Evan Gilmartin Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78234 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Physician Assistant
3551 ROGER BROOKE DR
JBSA FT SAM HOUSTON, TX 78234
Pediatrics (Pediatric Endocrinology)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Social Worker (Clinical)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Neurological Surgery
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Social Worker (Clinical)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Ophthalmology
3551 ROGER BROOKE DR
JBSA FORT SAM HOUSTON, TX 78234
Emergency Medicine (Emergency Medical Services)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evan Gilmartin's NPI number?

The NPI number for Evan Gilmartin is 1669164562. It was assigned to this individual provider in the NPPES registry on May 22, 2023.

Where is Evan Gilmartin located?

Evan Gilmartin practices at 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234. The listed phone number is (210) 916-0332.

What is Evan Gilmartin's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Evan Gilmartin enrolled in Medicare?

Yes. Evan Gilmartin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Evan Gilmartin was last updated on June 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 55 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.