Individual provider Active NPI

Frank R Galka, DDS

  • General Practice Dentistry
  • Milwaukee, WI
National Provider Identifier
1306850326
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1207G Issued in WI
Practice address
1845 N Farwell Ave Ste 105
Milwaukee, WI 53202-1715
Phone
(414) 276-4455
Fax
(414) 276-6898
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 1207G WI Primary

Addresses

Primary practice location

1845 N Farwell Ave Ste 105
Milwaukee, WI 53202-1715

Mailing address

1845 N Farwell Ave Ste 105
Milwaukee, WI 53202-1715
Phone (414) 276-4455

Other identifiers 1

IdentifierTypeStateIssuer
1207GOtherWISTATE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective May 20, 2016 through May 20, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1207GWIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Eastside Dental LLC 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306850326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 N FARWELL AVE STE 105",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532021715",
            "telephone_number": "414-276-4455",
            "fax_number": "414-276-6898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 N FARWELL AVE STE 105",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532021715",
            "telephone_number": "414-276-4455",
            "fax_number": "414-276-6898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALKA",
        "first_name": "FRANK",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "1207G",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE",
            "identifier": "1207G",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.