Active NPI
Robert R Galvan, DDS
- Endodontics
- Austin, TX
National Provider Identifier
1104046473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 16187
- Practice address
- 901 South Mopac Expressway
Building 5, Suite 220
Austin, TX 78746 - Phone
- (512) 327-0461
- Fax
- (512) 327-0916
- NPI assigned
- Apr 27, 2007
- 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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 16187 | TX | Primary |
Addresses
Primary practice location
901 South Mopac Expressway
Building 5, Suite 220
Austin, TX 78746
Mailing address
901 South Mopac Expressway,
BLDG 5, Suite 220
Austin, TX 78746
Phone (512) 327-0461
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191108002160 | TX | Order and Referring Only - Dentist | 1850723073 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16187 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Austin Endodontics LLP | Endodontics | Past | Accepting new patients |
| Michael B. Doughty | Endodontics | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Endodontics
- Austin, TX
- NPI 1336265248
-
- Endodontics
- Austin, TX
- NPI 1811990138
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477008000000",
"number": "1104046473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 SOUTH MOPAC EXPRESSWAY,",
"address_2": "BLDG 5, SUITE 220",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78746",
"telephone_number": "512-327-0461",
"fax_number": "512-327-0916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 SOUTH MOPAC EXPRESSWAY",
"address_2": "BUILDING 5, SUITE 220",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78746",
"telephone_number": "512-327-0461",
"fax_number": "512-327-0916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALVAN",
"first_name": "ROBERT",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-27",
"last_updated": "2016-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "TX",
"license": "16187",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.