Active NPI
Kevin Galvin, DMD
- Dentist
- Missouri Valley, IA
National Provider Identifier
1083273155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DDS9650
- Practice address
- 220 E Erie St
Missouri Valley, IA 51555-1533 - Phone
- (712) 642-4136
- NPI assigned
- Jun 11, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DDS9650 | IA | Primary |
Addresses
Primary practice location
220 E Erie St
Missouri Valley, IA 51555-1533
Mailing address
220 E Erie St
Missouri Valley, IA 51555-1533
Phone (712) 642-4136
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
| License | State | Type | Specialty |
|---|---|---|---|
| DDS9650 | IA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kevin Galvin, DMD PLLC | Current | 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.
-
- General Practice Dentistry
- Council Bluffs, IA
- NPI 1285214353
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1083273155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 E ERIE ST",
"city": "MISSOURI VALLEY",
"state": "IA",
"postal_code": "515551533",
"telephone_number": "712-642-4136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 E ERIE ST",
"city": "MISSOURI VALLEY",
"state": "IA",
"postal_code": "515551533",
"telephone_number": "712-642-4136"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALVIN",
"first_name": "KEVIN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-06-11",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IA",
"license": "DDS9650",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Missouri Valley, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.