Peter L Gallarello DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

9901 Issued in NV

Legal business name

PETER L GALLARELLO DPM

Practice address

1703 Civic Center Dr Ste 3
North Las Vegas, NV 89030-7273

Phone

(702) 791-3668

NPI assigned

Aug 2, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Peter L Gallarello, D.P.M.NPI 1871524025

Title

President

Phone

(702) 791-3668

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Foot and Ankle Center Doing business as

Practitioners 1

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

• Peter L. Gallarello, DPM

  • Podiatrist
  • North Las Vegas, NV
  • NPI 1871524025
  NPD (past) Authorized official

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267228800000",
    "number": "1366459471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1703 CIVIC CENTER DR STE 3",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890307273",
            "telephone_number": "702-791-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 CIVIC CENTER DR STE 3",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890307273",
            "telephone_number": "702-791-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER L GALLARELLO DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-02",
        "last_updated": "2010-02-27",
        "status": "A",
        "authorized_official_last_name": "GALLARELLO",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-791-3668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NV",
            "license": "9901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002102009",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foot and Ankle Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tailor Perry
• Tyral Dushon Perry
• Jaiden Love Person
• Personal Care Solutions
• Personal Care Solutions
• Kaytlin Theresa Peterman
• Ashlyn Jane Peters
• Carloes Peters
• Karen Ann-Marie Elizabeth Petersen, MPH, RDN, LD
• Peterson Dental Group, PC

• Podiatrist in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Podiatrist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2010; 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.