Andrew Rodes Gall, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6467 Issued in CO

Practice address

132 Walnut Ave
Grand Junction, CO 81501-7474

Phone

(970) 245-1758

Fax

(970) 245-1759

NPI assigned

Aug 1, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• High Desert Dental

  • Dental Clinic/Center
  • Grand Junction, CO
  • NPI 1023624053
  NPD (past)

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

{
    "created_epoch": "1122854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564444800000",
    "number": "1043210065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 WALNUT AVE",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815017474",
            "telephone_number": "970-245-1758",
            "fax_number": "970-245-1759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 WALNUT AVE",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815017474",
            "telephone_number": "970-245-1758",
            "fax_number": "970-245-1759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALL",
        "first_name": "ANDREW",
        "middle_name": "RODES",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-01",
        "last_updated": "2019-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CO",
            "license": "6467",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "6467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TIM",
            "identifier": "84-1376365",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jerry Gage
• Gaglione and Scott Dental PLLC
• Lee Gaglione, D.D.S.
• Sara Jane Gaglione, M.D.
• Cynthia Dawn Gaines, NP
• Amy C. Gallagher, PSY.D.
• Colleen Gallagher, MT
• Kaitlyn Sue Gallagher
• Kyle Gallagher, L.A.T.
• Jory Gallegos

• General Practice Dentistry in Grand Junction, CO
• Providers in Grand Junction, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.