Active NPI
Romarico N. Galvan DMD Inc
- General Practice Dentistry
- Chino, CA
National Provider Identifier
1548417462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 33140
- Legal business name
- ROMARICO N. GALVAN DMD INC
- Practice address
- 4514 Philadelphia St
Suite a
Chino, CA 91710-2240 - Phone
- (909) 465-1016
- NPI assigned
- Aug 21, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Romarico N Galvan, DMD
- Title
- President
- Phone
- (909) 465-1016
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 33140 | CA | Primary |
Addresses
Primary practice location
4514 Philadelphia St
Suite a
Chino, CA 91710-2240
Mailing address
4514 Philadelphia St
Suite a
Chino, CA 91710-2240
Phone (909) 465-1016
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B33140-02 | Medicaid | CA |
National Provider Directory
National Provider Directory- Tax ID family
- Romarico N Galvan DMD Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Dentistry
- San Gabriel, CA
- NPI 1770730947
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Orange, CA
- NPI 1306272190
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219276800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1219276800000",
"number": "1548417462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4514 PHILADELPHIA ST",
"address_2": "SUITE A",
"city": "CHINO",
"state": "CA",
"postal_code": "917102240",
"telephone_number": "909-465-1016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4514 PHILADELPHIA ST",
"address_2": "SUITE A",
"city": "CHINO",
"state": "CA",
"postal_code": "917102240",
"telephone_number": "909-465-1016"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROMARICO N. GALVAN DMD INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-21",
"last_updated": "2008-08-21",
"status": "A",
"authorized_official_last_name": "GALVAN",
"authorized_official_first_name": "ROMARICO",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "909-465-1016",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "33140",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "B33140-02",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.