Anita Jennell Galloway, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

9856 Issued in TN

Practice address

277 Veterans Pkwy
Murfreesboro, TN 37128-1076

Phone

(615) 713-1993

NPI assigned

Oct 22, 2008

Last updated

Oct 2, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Spark Dental TN, PLLC

  dba Cumberland Pediatric Dentistry

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Smyrna, TN
  • NPI 1154087120

  Pediatric Dentistry

  NPD (past)

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

{
    "created_epoch": "1224633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1174775068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 VETERANS PKWY STE A",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371281077",
            "telephone_number": "615-131-9937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 VETERANS PKWY",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371281076",
            "telephone_number": "615-713-1993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLOWAY",
        "first_name": "ANITA",
        "middle_name": "JENNELL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-22",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401412742",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TN",
            "license": "9856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DDS",
            "identifier": "9856",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Radhika Gaddipati, MD
• Robin Lynn Gaffney, NP
• Tony Bernard Gaines
• Joseph Wade Gaither, D.D.S.
• Danielle Gallo
• Bailey Galloway
• Kory Taylor Galloway I, OTD, OTR/L
• Russell E Galloway, M.D.
• Scott J Galloway, MD
• Sherry J Galloway, M.D.

• Pediatric Dentistry in Murfreesboro, TN
• Providers in Murfreesboro, TN by specialty
• Pediatric Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; 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.