Individual provider Active NPI

Michelle Galeon, DMD

  • Dentist
  • Laguna Niguel, CA
National Provider Identifier
1366801508
Registry record updated Oct 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
100898 Issued in CA
Practice address
27901 La Paz Rd
#D
Laguna Niguel, CA 92677-3932
Phone
(949) 389-9195
NPI assigned
Feb 16, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 100898 CA Primary

Addresses

Primary practice location

27901 La Paz Rd
#D
Laguna Niguel, CA 92677-3932

Mailing address

12688 Chapman Ave Unit 3302
Garden Grove, CA 92840-4043
Phone (916) 837-5567

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170301002037 CA Order and Referring Only - DentistPractitioner - Dentist 5193009629

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sharifian Professional Dental Corporation 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": "1455580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477612800000",
    "number": "1366801508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12688 CHAPMAN AVE UNIT 3302",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928404043",
            "telephone_number": "916-837-5567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27901 LA PAZ RD",
            "address_2": "#D",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926773932",
            "telephone_number": "949-389-9195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALEON",
        "first_name": "MICHELLE",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-16",
        "last_updated": "2016-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "100898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Niguel, CA

Sources for this page

Verify at the official NPI Registry.