Organization Active NPI

Dr Dennis Galvon

  • Family Medicine Physician
  • Gig Harbor, WA
National Provider Identifier
1548030075
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DR DENNIS GALVON
Practice address
4423 Point Fosdick Dr Ste 212
Gig Harbor, WA 98335-1794
Phone
(253) 851-8545
NPI assigned
Jan 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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

Authorized official

Name
Dennis GalvonNPI 1295862159
Title
Owner
Phone
(253) 851-8545

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

4423 Point Fosdick Dr Ste 212
Gig Harbor, WA 98335-1794

Mailing address

4423 Point Fosdick Dr Ste 212
Gig Harbor, WA 98335-1794

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241004000296 WA Part B Supplier - Clinic/Group Practice 4688105414 Receives reassigned benefits from 1 practitioner
Practice locations: Gig Harbor, WA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2263175Dr Dennis Galvon MD4423 Point Fosdick Dr Ste 212, Gig Harbor, WA 98335Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Locations

4423 Point Fosdick Dr
Ste 212
Gig Harbor, WA 98335
Phone (253) 851-8545

Practitioners & affiliated clinicians

Practitioners 1

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": "1704412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704412800000",
    "number": "1548030075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4423 POINT FOSDICK DR STE 212",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4423 POINT FOSDICK DR STE 212",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351794",
            "telephone_number": "253-851-8545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR DENNIS GALVON",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-05",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A",
        "authorized_official_last_name": "GALVON",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-851-8545"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gig Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.