Individual provider Active NPI

Thomas A. Galinis, D.M.D.

  • Dentist
  • Palm City, FL
National Provider Identifier
1043411234
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0014301 Issued in FL
Practice address
2812 SW Mapp Rd
Palm City, FL 34990-2722
Phone
(772) 283-8350
Fax
(772) 220-8750
NPI assigned
May 29, 2007
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
Dentist 122300000X 0014301 FL Primary

Addresses

Primary practice location

2812 SW Mapp Rd
Palm City, FL 34990-2722

Mailing address

2812 SW Mapp Rd
Palm City, FL 34990-2722
Phone (772) 283-8350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20151229000759 FL Order and Referring Only - DentistPractitioner - Dentist 1759682040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0014301FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Aesthetic Dentistry of Palm City Dentist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043411234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2812 SW MAPP RD",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349902722",
            "telephone_number": "772-283-8350",
            "fax_number": "772-220-8750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2812 SW MAPP RD",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349902722",
            "telephone_number": "772-283-8350",
            "fax_number": "772-220-8750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALINIS",
        "first_name": "THOMAS",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "0014301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm City, FL

Sources for this page

Verify at the official NPI Registry.