Individual provider Active NPI

Colin Trevor Galbraith, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Glenwood Springs, CO
National Provider Identifier
1104123629
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DEN.00204065 Issued in CO
Practice address
2520 Grand Ave Ste 112
Glenwood Springs, CO 81601-4195
Phone
(970) 945-9644
NPI assigned
Feb 18, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X DEN.00204065 CO Primary

Addresses

Primary practice location

2520 Grand Ave Ste 112
Glenwood Springs, CO 81601-4195

Mailing address

2520 Grand Ave Ste 112
Glenwood Springs, CO 81601-4195
Phone (970) 945-9644

Other identifiers 1

IdentifierTypeStateIssuer
DEN.00204065OtherCOCOLORADO STATE BOARD OF DENTAL EXAMINERS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Sep 2, 2015 through Sep 2, 2027

Care Compare profile

Medicare Care Compare
Specialty
Maxillofacial Surgery
Education
Other, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1906 Blake Ave
Glenwood SPGS, CO 81601-4259

PO Box
Suite 2270
Glenwood Springs, CO 81602-2270

Hospital & facility affiliations

  • Valley View Hospital Association Hospital, Glenwood Springs, CO, CCN 060075

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16005MDMDClinical Social Worker
DEN.00204065COMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Glenwood Oral Surgery, P.C. PastSince Feb 6, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: colin.galbraith.p1@direct.mfhc.nextgenshare.com

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1297987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1104123629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 GRAND AVE STE 112",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816014195",
            "telephone_number": "970-945-9644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 GRAND AVE STE 112",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816014195",
            "telephone_number": "970-945-9644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALBRAITH",
        "first_name": "COLIN",
        "middle_name": "TREVOR",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-18",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CO",
            "license": "DEN.00204065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO STATE BOARD OF DENTAL EXAMINERS",
            "identifier": "DEN.00204065",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenwood Springs, CO

Sources for this page

Verify at the official NPI Registry.