Individual provider Active NPI

Gretchen Galvin, DDS

  • General Practice Dentistry
  • Depew, NY
National Provider Identifier
1417334293
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
058513-1 Issued in NY
Practice address
4909 Transit Rd Ste 2
Depew, NY 14043-4686
Phone
(716) 631-2728
NPI assigned
Apr 30, 2015
Last updated
Mar 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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 058513-1 NY Primary

Addresses

Primary practice location

4909 Transit Rd Ste 2
Depew, NY 14043-4686

Mailing address

4909 Transit Rd
Depew, NY 14043-4686
Phone (716) 656-8686

Other practice location 1

4233 Maple Rd
Amherst, NY 14226-1039
Phone (716) 631-2728

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20161024002877 NY Order and Referring Only - DentistPractitioner - Dentist 2860770955

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
058513-1NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Gretchen Galvin DDS PLLC General Practice Current 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.

NPI Registry JSON

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

{
    "created_epoch": "1430352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1417334293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4909 TRANSIT RD",
            "city": "DEPEW",
            "state": "NY",
            "postal_code": "140434686",
            "telephone_number": "716-656-8686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4909 TRANSIT RD STE 2",
            "city": "DEPEW",
            "state": "NY",
            "postal_code": "140434686",
            "telephone_number": "716-631-2728"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4233 Maple Rd",
            "address_purpose": "LOCATION",
            "city": "Amherst",
            "state": "NY",
            "postal_code": "142261039",
            "country_code": "US",
            "telephone_number": "716-631-2728",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALVIN",
        "first_name": "GRETCHEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-30",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "058513-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Depew, NY

Sources for this page

Verify at the official NPI Registry.