Individual provider Active NPI

Beatriz Regina Galofre, DDS

  • General Practice Dentistry
  • Roseville, CA
National Provider Identifier
1053425249
Registry record updated Feb 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
49885 Issued in CA
Practice address
720 Sunrise Ave
#120A
Roseville, CA 95661-4516
Phone
(916) 783-0471
NPI assigned
Aug 18, 2006
Last updated
Feb 26, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2016

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 49885 CA Primary

Addresses

Primary practice location

720 Sunrise Ave
#120A
Roseville, CA 95661-4516

Mailing address

1229 Formby Way
Roseville, CA 95747-6456
Phone (916) 230-7096

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20160315001483 CA Order and Referring Only - DentistPractitioner - Dentist 0143526350

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
49885CAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456444800000",
    "number": "1053425249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 FORMBY WAY",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "957476456",
            "telephone_number": "916-230-7096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 SUNRISE AVE",
            "address_2": "#120A",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614516",
            "telephone_number": "916-783-0471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALOFRE",
        "first_name": "BEATRIZ",
        "middle_name": "REGINA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2016-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "49885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

Verify at the official NPI Registry.