Robert Edward Galliani

Primary specialty

DentistTaxonomy code 122300000X

License

19A-13598 Issued in IL

Practice address

400 Lake Cook Rd
115
Deerfield, IL 60015-5607

Phone

(847) 945-3515

Fax

(847) 945-3425

NPI assigned

Sep 6, 2012

Last updated

Sep 6, 2012By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective May 24, 2016 through May 24, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Galliani Mulvaney & Associates LTD

  • Dental Clinic/Center
  • Deerfield, IL
  • NPI 1851940373
  NPD (past)

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

{
    "created_epoch": "1346889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346889600000",
    "number": "1558610410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 LAKE COOK RD",
            "address_2": "115",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600155607",
            "telephone_number": "847-945-3515",
            "fax_number": "847-945-3425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 LAKE COOK RD",
            "address_2": "115",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600155607",
            "telephone_number": "847-945-3515",
            "fax_number": "847-945-3425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLIANI",
        "first_name": "ROBERT",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-06",
        "last_updated": "2012-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "19A-13598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bert J Frisch, R.PH.
• Funtastic Inc.
• Abby Elizabeth Gagerman, LCSW
• Gajda Sports Medical Center LTD
• Galliani Mulvaney & Associates LTD
• Mikhail Galperin, MD
• Tatyana Galperin, MD
• Walter Genaro Garcia Hernandez, PSYD
• Kristine Antoinette Gargiulo
• Henry Jay Gault, M.D.

• Dentist in Deerfield, IL
• Providers in Deerfield, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.