Nicolas Gallegos, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE60967841 Issued in WA

Practice address

6821 N Country Homes Blvd
Spokane, WA 99208-4372

Phone

(801) 792-2999

NPI assigned

Oct 4, 2016

Last updated

Jul 24, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1475539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1528518453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6906 S MORAN VIEW ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992248468",
            "telephone_number": "801-792-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6821 N COUNTRY HOMES BLVD",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992084372",
            "telephone_number": "801-792-2999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "590 Foothill Dr",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "84148",
            "country_code": "US",
            "telephone_number": "801-584-1206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALLEGOS",
        "first_name": "NICOLAS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-04",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60967841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE PRACTICE",
            "identifier": "84-1759763",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deeann M Galland
• Lindsey Michelle Gallaway, RN
• Rebecca G Gallaway, ARNP
• Denise Marie Gallegos
• Mary Lee Gallegos, A.R.N.P.
• Samantha Irene Gallegos, GNP
• Alicia Gallis
• Michael Gallis, PTA
• Joel R. Galloway, MD
• Megan Marie Galloway

• General Practice Dentistry in Spokane, WA
• Providers in Spokane, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; 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.