Active NPI
Galena Family Dental, P.C.
- Dentist
- Galena, IL
National Provider Identifier
1194132886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- GALENA FAMILY DENTAL, P.C.
- Practice address
- 202 Summit St
Galena, IL 61036-1636 - Phone
- (815) 777-2338
- Fax
- (815) 777-2338
- NPI assigned
- Jul 15, 2014
- Last updated
- Jul 15, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Anna M Miller, D.M.D.
- Title
- Dentist Owner of Corporation
- Phone
- (563) 556-3468
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
202 Summit St
Galena, IL 61036-1636
Mailing address
202 Summit St
Galena, IL 61036-1636
Phone (815) 777-2338
National Provider Directory
National Provider DirectoryLocations
202 Summit St
Galena, IL 61036
Phone (815) 776-0595
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dentist
- Dubuque, IA
- NPI 1417115650
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405382400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1405382400000",
"number": "1194132886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 SUMMIT ST",
"city": "GALENA",
"state": "IL",
"postal_code": "610361636",
"telephone_number": "815-777-2338",
"fax_number": "815-777-2338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 SUMMIT ST",
"city": "GALENA",
"state": "IL",
"postal_code": "610361636",
"telephone_number": "815-777-2338",
"fax_number": "815-777-2338"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GALENA FAMILY DENTAL, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2014-07-15",
"last_updated": "2014-07-15",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "ANNA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "DENTIST OWNER OF CORPORATION",
"authorized_official_telephone_number": "563-556-3468",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.M.D."
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Galena, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.