NPIMap

Organization Active NPI

Galva Family Dentistry, Inc.

Doing business as Sweetbriar Family Dentistry

  • General Practice Dentistry
  • Galesburg, IL
National Provider Identifier
1447640594
Registry record updated Jan 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019028104 Issued in IL
Legal business name
GALVA FAMILY DENTISTRY, INC.
Doing business as
Sweetbriar Family Dentistry
Practice address
1237 Sweetbriar PL
Galesburg, IL 61401-2343
Phone
(309) 342-7112
Fax
(309) 342-0284
NPI assigned
Jan 28, 2015
Organization subpart
Yes
Parent organization
GALVA FAMILY DENTISTRY, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 28, 2015

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

Authorized official

Name
Scott Bialobreski, D.D.S.
Title
President
Phone
(309) 932-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 019028104 IL Primary

Addresses

Primary practice location

1237 Sweetbriar PL
Galesburg, IL 61401-2343

Mailing address

217 Market St
Galva, IL 61434-1766
Phone (309) 932-2000

Other names 1

  • Sweetbriar Family Dentistry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Galva Family Dentistry Inc7 organizations share this tax ID, including this one
Part of
Galva Family Dentistry Inc

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1237 Sweetbriar Pl
Galesburg, IL 61401
Phone (309) 342-7112

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1422403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422403200000",
    "number": "1447640594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 MARKET ST",
            "city": "GALVA",
            "state": "IL",
            "postal_code": "614341766",
            "telephone_number": "309-932-2000",
            "fax_number": "309-932-8904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1237 SWEETBRIAR PL",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614012343",
            "telephone_number": "309-342-7112",
            "fax_number": "309-342-0284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALVA FAMILY DENTISTRY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GALVA FAMILY DENTISTRY, INC.",
        "enumeration_date": "2015-01-28",
        "last_updated": "2015-01-28",
        "status": "A",
        "authorized_official_last_name": "BIALOBRESKI",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "309-932-2000",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019028104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sweetbriar Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Galesburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2015; 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.