Individual provider Active NPI

Amy E Galyen

  • Dental Hygienist
  • Memphis, TN
National Provider Identifier
1033758792
Registry record updated Feb 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
2060 Issued in TN
Practice address
5565 Murray Ave Ste 101
Memphis, TN 38119-3828
Phone
(901) 767-8152
NPI assigned
Dec 29, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 2060 TN Primary

Addresses

Primary practice location

5565 Murray Ave Ste 101
Memphis, TN 38119-3828

Mailing address

7593 Blackberry Farm Rd
Germantown, TN 38138-2107
Phone (901) 308-0359

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Memphis

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2060TNMDMedical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1577577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580860800000",
    "number": "1033758792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7593 BLACKBERRY FARM RD",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381382107",
            "telephone_number": "901-308-0359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5565 MURRAY AVE STE 101",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381193828",
            "telephone_number": "901-767-8152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALYEN",
        "first_name": "AMY",
        "middle_name": "E",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-29",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "TN",
            "license": "2060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Memphis",
            "affiliation": "N",
            "address_1": "5565 Murray Ave Ste 101",
            "city": "Memphis",
            "state": "TN",
            "country_code": "US",
            "postal_code": "381193828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.