Individual provider Active NPI

Kristina Galligan, DMD

  • Dentist
  • Melbourne, FL
National Provider Identifier
1578970091
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN20737 Issued in FL
Practice address
7954 N Wickham Rd Ste 109
Melbourne, FL 32940-8121
Phone
(321) 373-0809
NPI assigned
Jul 16, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN20737 FL Primary

Addresses

Primary practice location

7954 N Wickham Rd Ste 109
Melbourne, FL 32940-8121

Mailing address

7954 N Wickham Rd Ste 109
Melbourne, FL 32940-8121
Phone (321) 373-0809

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170321001096 FL Order and Referring Only - DentistPractitioner - Dentist 3476838103

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Galligan Dental, LLC Dentist Current Accepting new patients

Locations

7954 N Wickham Rd
Ste 109
Melbourne, FL 32940
Phone (321) 373-0809

Networks

  • Freedom Health HMO Network

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1405468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775779200000",
    "number": "1578970091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7954 N WICKHAM RD STE 109",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329408121",
            "telephone_number": "321-373-0809",
            "fax_number": "321-600-0868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7954 N WICKHAM RD STE 109",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329408121",
            "telephone_number": "321-373-0809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLIGAN",
        "first_name": "KRISTINA",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-16",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN20737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.