Individual provider Active NPI

Derek Joseph Galatro, DDS

  • General Practice Dentistry
  • Fredericksburg, VA
National Provider Identifier
1023233038
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401008717 Issued in VA
Practice address
131 Park Hill Dr Ste a
Fredericksburg, VA 22401-3357
Phone
(540) 373-0602
Fax
(540) 374-0375
NPI assigned
Apr 16, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401008717 VA Primary

Addresses

Primary practice location

131 Park Hill Dr Ste a
Fredericksburg, VA 22401-3357

Mailing address

131 Park Hill Dr Ste a
Fredericksburg, VA 22401-3357
Phone (540) 373-0602

Other identifiers 3

IdentifierTypeStateIssuer
008717OtherVADELTA DENTAL
900844OtherVAUNITED CONCORDIA
191780OtherVAANTHEM BCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180807003446 VA Order and Referring Only - DentistPractitioner - Dentist 0547518508

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
C and E Dental PLLC General Practice PastSince Jun 25, 2023 Accepting new patients
Derek J. Galatro, DDS, PC General Practice Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023233038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 PARK HILL DR STE A",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224013357",
            "telephone_number": "540-373-0602",
            "fax_number": "540-374-0375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 PARK HILL DR STE A",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224013357",
            "telephone_number": "540-373-0602",
            "fax_number": "540-374-0375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALATRO",
        "first_name": "DEREK",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401008717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL",
            "identifier": "008717",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "900844",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "191780",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.