Individual provider Active NPI

Daniel Tijerna Galvan

  • Other Technician
  • Amarillo, TX
National Provider Identifier
1073893376
Registry record updated Aug 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other TechnicianTaxonomy code 247200000X
License
1009381 Issued in TX
Practice address
3615 SW 45TH Ave
Amarillo, TX 79109-5662
Phone
(806) 379-7311
Fax
(806) 372-3984
NPI assigned
Aug 18, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Other Technician 247200000X 1009381 TX Primary

Addresses

Primary practice location

3615 SW 45TH Ave
Amarillo, TX 79109-5662

Mailing address

2212 Locust St
Amarillo, TX 79109-1921
Phone (806) 379-7311

Other names 1

  • Mr. Danny Tijerna Galvan Other name

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
1009381TXMDOther Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Pro Med Pharmacies Inc Past Accepting new patients
National Home Health Care Inc Past Accepting new patients
United Seating and Mobility LLC Past Accepting new patients

Organizations & group practices 3

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": "1313625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314057600000",
    "number": "1073893376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2212 LOCUST ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791091921",
            "telephone_number": "806-379-7311",
            "fax_number": "806-372-3984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 SW 45TH AVE",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791095662",
            "telephone_number": "806-379-7311",
            "fax_number": "806-372-3984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALVAN",
        "first_name": "DANIEL",
        "middle_name": "TIJERNA",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-18",
        "last_updated": "2011-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "TX",
            "license": "1009381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANNY",
            "last_name": "GALVAN",
            "middle_name": "TIJERNA",
            "prefix": "MR.",
            "credential": "QRP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2011; 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.