Individual provider Active NPI

David Allen Galles, M.D.

  • Pediatrics Physician
  • Phoenix, AZ
National Provider Identifier
1275598047
Registry record updated Sep 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
26196 Issued in AZ
Practice address
15420 N 32ND Dr
Phoenix, AZ 85053-3927
Phone
(602) 866-1974
Fax
(602) 375-3949
NPI assigned
Apr 17, 2006
Last updated
Sep 23, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 26196 AZ Primary

Addresses

Primary practice location

15420 N 32ND Dr
Phoenix, AZ 85053-3927

Mailing address

15420 N 32ND Dr
Phoenix, AZ 85053-3927
Phone (602) 866-1974

Other identifiers 1

IdentifierTypeStateIssuer
428658MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160927003170 AZ Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 1759678261

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Cloinic for Children Pediatrics Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222128000000",
    "number": "1275598047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15420 N 32ND DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850533927",
            "telephone_number": "602-866-1974",
            "fax_number": "602-375-3949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15420 N 32ND DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850533927",
            "telephone_number": "602-866-1974",
            "fax_number": "602-375-3949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLES",
        "first_name": "DAVID",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2008-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "26196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "428658",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.