Jesus Carlos Galvan, D.D.S., PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1463 Issued in NM

Legal business name

JESUS CARLOS GALVAN, D.D.S., PC

Practice address

2500 Louisiana Blvd NE Ste 600
Albuquerque, NM 87110-4372

Phone

(505) 855-7103

Fax

(505) 883-7444

NPI assigned

Aug 14, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jesus Carlos Galvan, DDSNPI 1346232642

Title

President

Phone

(505) 855-7103

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jesus Carlos Galvan, D.D.S.

  • General Practice Dentistry
  • Albuquerque, NM
  • NPI 1346232642
  NPD (past) Authorized official

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285647149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 LOUISIANA BLVD NE STE 600",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871104372",
            "telephone_number": "505-855-7103",
            "fax_number": "505-883-7444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 LOUISIANA BLVD NE STE 600",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871104372",
            "telephone_number": "505-855-7103",
            "fax_number": "505-883-7444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESUS CARLOS GALVAN, D.D.S., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GALVAN",
        "authorized_official_first_name": "JESUS",
        "authorized_official_middle_name": "CARLOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-855-7103",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "1463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirstin Jeske, MS CCC-SLP
• Jessica R Jespersenchavez, LMSW-P
• Jessica Berenson Lisw LLC
• Jessica Prochnow, Rnfa
• Beth A Jester, MD
• Jets LLC
• Lynda Jett
• Anna Jewett, MS, CCC-SLP
• Jewish Family Service of New Mexico
• JHR Smiles LLC

• General Practice Dentistry in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• General Practice Dentistry in New Mexico

• 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.

Verify at the official NPI Registry.