NPIMap

Organization Active NPI

Alexander a. Galvan DMD

  • Dentist
  • Ontario, CA
National Provider Identifier
1609080316
Registry record updated May 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
45861 Issued in CA
Legal business name
ALEXANDER A. GALVAN DMD
Practice address
750 N Archibald Ave
Suite N
Ontario, CA 91764-4647
Phone
(909) 481-2233
NPI assigned
May 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2015

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

Authorized official

Name
Dr. Alexander A Galvan, D.M.D.
Title
President
Phone
(909) 481-2233

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 45861 CA Primary

Addresses

Primary practice location

750 N Archibald Ave
Suite N
Ontario, CA 91764-4647

Mailing address

750 N Archibald Ave
Suite N
Ontario, CA 91764-4647
Phone (909) 481-2233

Other identifiers 4

IdentifierTypeStateIssuer
G93476-01OtherCAMEDICAL PROVIDER NUMBER
1677524OtherCAUNITED CONCORDIA PROV.#
224019OtherCABLUE SHIELD PROVIDER NO.
B45861-01OtherCADELTA HEALTHY FAMILIES

National Provider Directory

National Provider Directory
Tax ID family
Alexander a Galvan DMD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

750 N Archibald Ave
Ste N
Ontario, CA 91764
Phone (909) 481-2233

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": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431043200000",
    "number": "1609080316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 N ARCHIBALD AVE",
            "address_2": "SUITE N",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917644647",
            "telephone_number": "909-481-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 N ARCHIBALD AVE",
            "address_2": "SUITE N",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917644647",
            "telephone_number": "909-481-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDER A. GALVAN DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2015-05-08",
        "status": "A",
        "authorized_official_last_name": "GALVAN",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-481-2233",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "45861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL PROVIDER NUMBER",
            "identifier": "G93476-01",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA PROV.#",
            "identifier": "1677524",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER NO.",
            "identifier": "224019",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA HEALTHY FAMILIES",
            "identifier": "B45861-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2015; 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.