Individual provider Active NPI

Galyna Germanovych, REGISTERED DENTAL HY

  • Dental Hygienist
  • Glastonbury, CT
National Provider Identifier
1689954265
Registry record updated Aug 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
007696 Issued in CT
Practice address
63 Uconn Ave
Glastonbury, CT 06033-1365
Phone
(860) 528-1359
Fax
(860) 528-2353
NPI assigned
Aug 26, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 007696 CT Primary

Addresses

Primary practice location

63 Uconn Ave
Glastonbury, CT 06033-1365

Mailing address

63 Uconn Ave
Glastonbury, CT 06033-1365
Phone (860) 528-1359

Other identifiers 1

IdentifierTypeStateIssuer
007696OtherFOR SOLE REGISTERED DENTAL HYGIENIST

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
007696CTMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1314316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314316800000",
    "number": "1689954265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 UCONN AVE",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060331365",
            "telephone_number": "860-528-1359",
            "fax_number": "860-528-2353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 UCONN AVE",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060331365",
            "telephone_number": "860-528-1359",
            "fax_number": "860-528-2353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERMANOVYCH",
        "first_name": "GALYNA",
        "credential": "REGISTERED DENTAL HY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-26",
        "last_updated": "2011-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CT",
            "license": "007696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FOR SOLE REGISTERED DENTAL HYGIENIST",
            "identifier": "007696",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glastonbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2011; 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.