Individual provider Active NPI

Aidan Sean Gallagher, DDS

  • Dental Anesthesiology
  • Mechanicsburg, PA
National Provider Identifier
1437686839
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental AnesthesiologyTaxonomy code 1223D0004X
License
DS043445 Issued in PA
Practice address
220 Cumberland Pkwy Ste 6
Mechanicsburg, PA 17055-5683
Phone
(732) 986-3690
NPI assigned
May 16, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Anesthesiology 1223D0004X 22DI02937000 NJ
Student in an Organized Health Care Education/Training Program 390200000X
Dental Anesthesiology 1223D0004X DS043445 PA Primary

Addresses

Primary practice location

220 Cumberland Pkwy Ste 6
Mechanicsburg, PA 17055-5683

Mailing address

18 Campus Blvd., Suite 100
Office 115
Newtown Square, PA 19073
Phone (484) 319-6496

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

LicenseStateTypeSpecialty
22DI02937000NJMDDentist Anesthesiologist
DS043445PAMDDentist Anesthesiologist

NPI Registry JSON

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

{
    "created_epoch": "1494892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1437686839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 CAMPUS BLVD., SUITE 100",
            "address_2": "OFFICE 115",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "19073",
            "telephone_number": "484-319-6496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 CUMBERLAND PKWY STE 6",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170555683",
            "telephone_number": "732-986-3690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLAGHER",
        "first_name": "AIDAN",
        "middle_name": "SEAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-16",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0004X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "NJ",
            "license": "22DI02937000",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223D0004X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "PA",
            "license": "DS043445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; 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.