Joseph D. Gallemore DDS & Associates P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4390 Issued in AZ

Legal business name

JOSEPH D. GALLEMORE DDS & ASSOCIATES P.C.

Practice address

2179 W 24TH St
Yuma, AZ 85364-6241

Phone

(928) 782-4707

Fax

(928) 569-0964

NPI assigned

Jul 20, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Jose Manuel Castro

Title

Office Manager

Phone

(928) 782-4707

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Gallemore Dental Group Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Joseph D. Gallemore DDS & Associates P.C.

  • General Practice Dentistry
  • San Luis, AZ
  • NPI 1699955070

  O20220511000900

  Same enrollment

Locations

Practitioners 1

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

• Joseph D Gallemore, D.D.S.

  • General Practice Dentistry
  • Yuma, AZ
  • NPI 1902961279
  Medicare reassignment NPD

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603843200000",
    "number": "1447450127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2179 W 24TH ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853646241",
            "telephone_number": "928-782-4707",
            "fax_number": "928-569-0964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2179 W 24TH ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853646241",
            "telephone_number": "928-782-4707",
            "fax_number": "928-569-0964"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1946 E Juan Sanchez Blvd Ste 5",
            "address_purpose": "LOCATION",
            "city": "San Luis",
            "state": "AZ",
            "postal_code": "853360478",
            "country_code": "US",
            "telephone_number": "928-627-5977",
            "fax_number": "928-569-0964",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JOSEPH D. GALLEMORE DDS & ASSOCIATES P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-20",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A",
        "authorized_official_last_name": "CASTRO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "MANUEL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "928-782-4707",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "4390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACHSS",
            "identifier": "155269",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gallemore Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Frederic Clinton Jones, RPH
• Michael Gabriel Jones, PA-C
• Shelita Jones, NP
• Holly D Jordan, OTR/L
• Mark Jordan, PHARM.D.
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• Julio Zonis, MD PC
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• General Practice Dentistry in Yuma, AZ
• Providers in Yuma, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.