Theodore Jason Gialanella, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

054963 Issued in NY

Practice address

523 Western Ave
Albany, NY 12203-1617

Phone

(518) 482-8111

NPI assigned

Jul 8, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1247011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279670400000",
    "number": "1497984694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 WESTERN AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122031617",
            "telephone_number": "518-482-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 WESTERN AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122031617",
            "telephone_number": "518-482-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIALANELLA",
        "first_name": "THEODORE",
        "middle_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-08",
        "last_updated": "2010-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "054963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mustafa Ghazanfar, CRNA
• Nabodita Devkota Ghimire, MD
• Ghulam Akbari Medicine PLLC
• Elizabeth M. Gialanella, PSY.D.
• Gaetano Gialanella, DDS
• Justin Giambruno, LCSW
• Danielle Shriana Giammatteo, MS, OTR/L
• Jenson Richard Giammatteo, DPT
• Joseph M Giampa, DO
• Hardevi Gianchandani

• All providers in Albany, NY
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2010; 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.