Active NPI
David Allen Galvan, D.D.S
- Endodontics
- Rolla, MO
National Provider Identifier
1104897628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 014079
- Practice address
- 1016 S Bishop Ave
Rolla, MO 65401-4416 - Phone
- (573) 341-3383
- Fax
- (573) 341-3485
- NPI assigned
- Feb 1, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 014079 | MO | Primary |
Addresses
Primary practice location
1016 S Bishop Ave
Rolla, MO 65401-4416
Mailing address
1016 S Bishop Ave
Rolla, MO 65401-4416
Phone (573) 341-3383
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1104897628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1016 S BISHOP AVE",
"city": "ROLLA",
"state": "MO",
"postal_code": "654014416",
"telephone_number": "573-341-3383",
"fax_number": "573-341-3485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1016 S BISHOP AVE",
"city": "ROLLA",
"state": "MO",
"postal_code": "654014416",
"telephone_number": "573-341-3383",
"fax_number": "573-341-3485"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALVAN",
"first_name": "DAVID",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-01",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "MO",
"license": "014079",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rolla, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.