Individual provider Active NPI

Gerald J Galvin, D.C.

  • Chiropractor
  • Converse, TX
National Provider Identifier
1669425161
Registry record updated Apr 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
13919 Issued in TX
Practice address
8014 Kitty Hawk
Converse, TX 78109-2424
Phone
(210) 658-6000
Fax
(210) 658-6843
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 13919 TX Primary

Addresses

Primary practice location

8014 Kitty Hawk
Converse, TX 78109-2424

Mailing address

3267 Lower Seguin Rd Lowr Seguin
Marion, TX 78124-4008
Phone (210) 658-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190425000113 TX Practitioner - Chiropractic 0941214456 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8014 Kitty Hawk
Converse, TX 78109-2424

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gerald J Galvin Converse Chiropractic Chiropractor CurrentSince Jan 2, 2019 Accepting new patients
Travis Howard North, Inc Chiropractor Past Accepting new patients
Chiro Link Unlimited Chiropractor Past Accepting new patients

Locations

8014 Kitty Hawk Rd
Converse, TX 78109
Phone (210) 658-6000

Organizations & group practices 3

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713657600000",
    "number": "1669425161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3267 LOWER SEGUIN RD LOWR SEGUIN",
            "city": "MARION",
            "state": "TX",
            "postal_code": "781244008",
            "telephone_number": "210-658-6000",
            "fax_number": "210-658-6843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8014 KITTY HAWK",
            "city": "CONVERSE",
            "state": "TX",
            "postal_code": "781092424",
            "telephone_number": "210-658-6000",
            "fax_number": "210-658-6843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALVIN",
        "first_name": "GERALD",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2024-04-21",
        "certification_date": "2024-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "13919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Converse, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.