Individual provider Active NPI

Dawna L Eastman-Gallo, M.D.

  • Obstetrics & Gynecology Physician
  • Lafayette, CO
National Provider Identifier
1639268550
Registry record updated Mar 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
42390 Issued in CO
Practice address
300 Exempla Cir
Suite 470
Lafayette, CO 80026-3397
Phone
(303) 665-6016
Fax
(303) 665-0121
NPI assigned
Oct 11, 2006
Last updated
Mar 19, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 42390 CO Primary

Addresses

Primary practice location

300 Exempla Cir
Suite 470
Lafayette, CO 80026-3397

Mailing address

9195 Grant St
Suite 300
Thornton, CO 80229-4385
Phone (303) 280-2229

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)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332115200000",
    "number": "1639268550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9195 GRANT ST",
            "address_2": "SUITE 300",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802294385",
            "telephone_number": "303-280-2229",
            "fax_number": "303-280-0765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 EXEMPLA CIR",
            "address_2": "SUITE 470",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800263397",
            "telephone_number": "303-665-6016",
            "fax_number": "303-665-0121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASTMAN-GALLO",
        "first_name": "DAWNA",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2012-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CO",
            "license": "42390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2012; 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.