NPIMap

Organization Active NPI

Galvan Dental LLC

  • General Practice Dentistry
  • Vallejo, CA
National Provider Identifier
1174765911
Registry record updated Mar 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
47894 Issued in CA
Legal business name
GALVAN DENTAL LLC
Doing business as
galvan dental care
Practice address
2809 Redwood Pkwy
Vallejo, CA 94591-3634
Phone
(707) 643-2273
Fax
(707) 643-4210
NPI assigned
Mar 25, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2009

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

Authorized official

Name
Dr. Felipe Halili Galvan Jr., DDS
Title
President
Phone
(707) 643-2273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 47894 CA Primary

Addresses

Primary practice location

2809 Redwood Pkwy
Vallejo, CA 94591-3634

Mailing address

2809 Redwood Pkwy
Vallejo, CA 94591-3634
Phone (707) 643-2273

Other names 1

  • galvan dental care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1237939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237939200000",
    "number": "1174765911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2809 REDWOOD PKWY",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945913634",
            "telephone_number": "707-643-2273",
            "fax_number": "707-643-4210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2809 REDWOOD PKWY",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945913634",
            "telephone_number": "707-643-2273",
            "fax_number": "707-643-4210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALVAN DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-25",
        "last_updated": "2009-03-25",
        "status": "A",
        "authorized_official_last_name": "GALVAN",
        "authorized_official_first_name": "FELIPE",
        "authorized_official_middle_name": "HALILI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-643-2273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "47894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "galvan dental care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vallejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.