Creighton Gallagher, DDS LLC

Primary specialty

DentistTaxonomy code 122300000X

License

60784 Issued in KS

Legal business name

CREIGHTON GALLAGHER, DDS LLC

Doing business as

Overland Park Family Dental

Practice address

8925 W 135TH Street
Overland Park, KS 66221

Phone

(913) 439-4311

NPI assigned

Jun 19, 2014

Organization subpart

No

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

Authorized official

Name

Creighton Gallagher

Title

Owner

Phone

(913) 439-4311

Specialties & licenses 1

Addresses

Other names 1

• Overland Park Family Dental Doing business as

Locations

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

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403136000000",
    "number": "1215341003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8925 W 135TH STREET",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "66221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8925 W 135TH STREET",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "66221",
            "telephone_number": "913-439-4311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREIGHTON GALLAGHER, DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-19",
        "last_updated": "2014-06-19",
        "status": "A",
        "authorized_official_last_name": "GALLAGHER",
        "authorized_official_first_name": "CREIGHTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-439-4311"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "KS",
            "license": "60784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Overland Park Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Dentist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.

Verify at the official NPI Registry.