Active NPI
Roseanne Ganley D.D.S. PA
- General Practice Dentistry
- The Woodlands, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 21219
- Legal business name
- ROSEANNE GANLEY D.D.S. PA
- Practice address
- 4850 W Panther Creek Dr
Suite 104
The Woodlands, TX 77381-3607 - Phone
- (281) 296-2010
- Fax
- (281) 292-0565
- NPI assigned
- Mar 4, 2007
- Last updated
- Aug 22, 2020
- 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. Roseanne Reedy Ganley, D.D.S.
- Title
- President
- Phone
- (281) 296-2010
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 21219 | TX | Primary |
Addresses
Primary practice location
4850 W Panther Creek Dr
Suite 104
The Woodlands, TX 77381-3607
Mailing address
4850 W Panther Creek Dr
Suite 104
The Woodlands, TX 77381-3607
Phone (281) 296-2010
National Provider Directory
National Provider DirectoryLocations
4850 W Panther Creek Dr
Ste 104
The Woodlands, TX 77381
Phone (281) 296-2010
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.
-
- General Practice Dentistry
- The Woodlands, TX
- NPI 1376672691
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172966400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1265561583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4850 W PANTHER CREEK DR",
"address_2": "SUITE 104",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773813607",
"telephone_number": "281-296-2010",
"fax_number": "281-292-0565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4850 W PANTHER CREEK DR",
"address_2": "SUITE 104",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773813607",
"telephone_number": "281-296-2010",
"fax_number": "281-292-0565"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROSEANNE GANLEY D.D.S. PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-04",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GANLEY",
"authorized_official_first_name": "ROSEANNE",
"authorized_official_middle_name": "REEDY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "281-296-2010",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "21219",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in The Woodlands, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.