Thomas Blaine Gallaher, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401413465 Issued in VA

Practice address

1602 Grandin Rd SW
Roanoke, VA 24015-2308

Phone

(540) 344-9361

NPI assigned

Sep 8, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Grandin Family Dentistry

  • Dentist
  • Roanoke, VA
  • NPI 1073101820

  Single Specialty

  NPD Authorized official
• R. Douglas Ross, DDS PC

  • Dental Clinic/Center
  • Roanoke, VA
  • NPI 1124514203
  NPD (past)
• Uehara&Uehara

  • General Practice Dentistry
  • Kahului, HI
  • NPI 1477785244
  NPD (past)

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

{
    "created_epoch": "1252368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622678400000",
    "number": "1699008797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 GRANDIN RD SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240152308",
            "telephone_number": "540-344-9361",
            "fax_number": "540-344-9377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 GRANDIN RD SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240152308",
            "telephone_number": "540-344-9361"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "415 Ala Makani St",
            "address_purpose": "LOCATION",
            "city": "Kahului",
            "state": "HI",
            "postal_code": "967323507",
            "country_code": "US",
            "telephone_number": "808-873-3266",
            "fax_number": "808-873-3267",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALLAHER",
        "first_name": "THOMAS",
        "middle_name": "BLAINE",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-08",
        "last_updated": "2021-06-03",
        "certification_date": "2021-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401413465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles K. Gadpaille, M.D.
• Frances Marie Gaeta, L.C.S.W
• Rachel Gagen, M.D.
• Jill A Gaines, MD
• Kathryn Akers Gall, FNP
• Ruth F Galle, OTR L CHT
• Dominique S Gallo, BS, IBCLC, RLC
• Shereen A Gamaluddin, MD
• Richard Gandee, DO
• Anil Lorrol Ganga, PA

• General Practice Dentistry in Roanoke, VA
• Providers in Roanoke, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; 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.