Individual provider Active NPI

Eric Gallatin, DDS

  • Endodontics
  • Centerville, OH
National Provider Identifier
1639250491
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
20309 Issued in OH
Practice address
221 W Franklin St
Centerville, OH 45459-4703
Phone
(937) 610-0707
Fax
(937) 610-0699
NPI assigned
Oct 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 20309 OH Primary
Endodontics 1223E0200X DN15897 FL

Addresses

Primary practice location

221 W Franklin St
Centerville, OH 45459-4703

Mailing address

221 W Franklin St
Centerville, OH 45459-4703
Phone (937) 610-0707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN15897FLMDEndodontist
20309OHMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Gallatin Endodontics Endodontics Past Accepting new patients

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": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204156800000",
    "number": "1639250491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 W FRANKLIN ST",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454594703",
            "telephone_number": "937-610-0707",
            "fax_number": "937-610-0699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 W FRANKLIN ST",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454594703",
            "telephone_number": "937-610-0707",
            "fax_number": "937-610-0699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLATIN",
        "first_name": "ERIC",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2008-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "OH",
            "license": "20309",
            "primary": true
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "DN15897",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.

Verify at the official NPI Registry.