Alexander August Galliano, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6744 Issued in LA

Practice address

2915 S Sherwood Forest Blvd
Baton Rouge, LA 70816-5700

Phone

(225) 296-0212

Fax

(225) 296-0225

NPI assigned

Jun 4, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

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

Specialty

Dentist

Education

Louisiana State University School of Dentistry, 2017

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Marillac Community Health Centers

  • Primary Care Clinic/Center
  • Metairie, LA
  • NPI 1396059796
  Medicare reassignment NPD
• Marillac Community Health Centers

  • Primary Care Clinic/Center
  • New Orleans, LA
  • NPI 1265746663
  NPD
• Marillac Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • Hammond, LA
  • NPI 1578442505
  NPD
• Marillac Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • New Orleans, LA
  • NPI 1346659927
  NPD (past)
• Marillac Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • New Orleans, LA
  • NPI 1780935973
  NPD (past)
• Marillac Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • New Orleans, LA
  • NPI 1891046876
  NPD (past)

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

{
    "created_epoch": "1496534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496534400000",
    "number": "1093244022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17845 E AUGUSTA DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708105922",
            "telephone_number": "225-572-3147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2915 S SHERWOOD FOREST BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708165700",
            "telephone_number": "225-296-0212",
            "fax_number": "225-296-0225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLIANO",
        "first_name": "ALEXANDER",
        "middle_name": "AUGUST",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-04",
        "last_updated": "2017-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "6744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Lee Gales
• Emily Parrill Galjour
• Holley Galland, M.D.,MPH
• Elizabeth Denise Gallegos, M.D.
• Stephanie Lizette Gallegos
• Carol J. Galliano, D.D.S.
• Lacey Galliano, D.D.S.
• Sydney Nicole Galtney
• Allison S Gamble-Bradford
• Emily Gamble

• General Practice Dentistry in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• General Practice Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2017; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.