Active NPI
Austin N Gallant, D.D.S.
- Dentist
- League City, TX
National Provider Identifier
1376839076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 27069
- Practice address
- 1901 E Main St
League City, TX 77573-4242 - Phone
- (281) 332-6323
- NPI assigned
- Jun 22, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 27069 | TX | Primary |
Addresses
Primary practice location
1901 E Main St
League City, TX 77573-4242
Mailing address
4464 Dinastia View CT
League City, TX 77573-3349
Phone (281) 957-9665
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27069 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J Thomas Carroll DDS PC | 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.
-
dba Todays Dentistry League City
- General Practice Dentistry
- League City, TX
- NPI 1346782620
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316044800000",
"number": "1376839076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4464 DINASTIA VIEW CT",
"city": "LEAGUE CITY",
"state": "TX",
"postal_code": "775733349",
"telephone_number": "281-957-9665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 E MAIN ST",
"city": "LEAGUE CITY",
"state": "TX",
"postal_code": "775734242",
"telephone_number": "281-332-6323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLANT",
"first_name": "AUSTIN",
"middle_name": "N",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-22",
"last_updated": "2011-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "27069",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in League City, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.