DOUGLAS TERRY GILLIS DPM
NPI 1689667792
Podiatrist in Las Cruces, NM

Active since August 24, 2005
780 S WALNUT ST, SUITE 3, LAS CRUCES, NM 88001(505) 525-3980(505) 526-8529 Get Directions Write a Review

NPPES record last updated: October 29, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Douglas Terry Gillis Dpm NPPES

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

DOUGLAS TERRY GILLIS DPM (NPI 1689667792) is an individual podiatrist in Las Cruces, New Mexico, licensed in New Mexico (196) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1689667792
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameDOUGLAS TERRY GILLISCredential: DPM
Location Address780 S WALNUT ST, SUITE 3Las Cruces, NM 88001-1425
Mailing Address780 S Walnut St, Suite 3Las Cruces, NM 88001-1425 · (505) 525-3980 · Fax (505) 526-8529
Fax(505) 526-8529
Sole ProprietorNo
Enumeration DateAugust 24, 2005
Last NPPES UpdateOctober 29, 2007
NPI 1689667792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License Licensed in NM · 196
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
780 S WALNUT ST, Las Cruces, NM 88001

Other Identifiers 6

Other0469220001NM · Dmerc
Other16042NM · Presbyterian
Other88001A00ZNM · Tricare Wps
Medicaid52993NM
Medicare UPINT41078
OtherNM005364NM · Bc Bs

Other Providers at the Same Location NPPES 9

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

Podiatrist
780 S WALNUT ST, SUITE 3
LAS CRUCES, NM 88001
Speech-Language Pathologist
780 S WALNUT ST, BLDG #7
LAS CRUCES, NM 88001
Internal Medicine
780 S WALNUT ST, BLDG #7
LAS CRUCES, NM 88001
Speech-Language Pathologist
780 S WALNUT ST, BLDG #7
LAS CRUCES, NM 88001
Speech-Language Pathologist
780 S WALNUT ST, BLDY #7
LAS CRUCES, NM 88001
Speech-Language Pathologist
780 S WALNUT ST, BLDG #7
LAS CRUCES, NM 88001
Podiatrist
780 S WALNUT ST, STE 3
LAS CRUCES, NM 88001
Pediatrics
780 S WALNUT ST
LAS CRUCES, NM 88001

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 Douglas Gillis's NPI number?

The NPI number for Douglas Gillis is 1689667792. It was assigned to this individual provider in the NPPES registry on August 24, 2005.

Where is Douglas Gillis located?

Douglas Gillis practices at 780 S Walnut St Suite 3, Las Cruces, NM 88001. The listed phone number is (505) 525-3980.

What is Douglas Gillis's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for Douglas Gillis was last updated on October 29, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.