NPIMap

Organization Active NPI

Gallo-Michles Professional Dental Corp.

  • General Practice Dentistry
  • Fresno, CA
National Provider Identifier
1699111682
Registry record updated May 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19777 Issued in CA
Legal business name
GALLO-MICHLES PROFESSIONAL DENTAL CORP.
Practice address
5690 N Fresno St Ste 101
Fresno, CA 93710-8332
Phone
(559) 436-3470
NPI assigned
May 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2013

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

Authorized official

Name
Xochitl Esparza
Title
Administrator
Phone
(619) 220-7495

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 19777 CA Primary

Addresses

Primary practice location

5690 N Fresno St Ste 101
Fresno, CA 93710-8332

Mailing address

5690 N Fresno St Ste 101
Fresno, CA 93710-8332
Phone (559) 436-3470

Other names 1

  • Affinity Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Gallo Michels Professional Dental Corp3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5690 N Fresno St
Ste 101
Fresno, CA 93710
Phone (559) 436-3470

NPI Registry JSON

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

{
    "created_epoch": "1368662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368662400000",
    "number": "1699111682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5690 N FRESNO ST STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937108332",
            "telephone_number": "559-436-3470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5690 N FRESNO ST STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937108332",
            "telephone_number": "559-436-3470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALLO-MICHLES PROFESSIONAL DENTAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-16",
        "last_updated": "2013-05-16",
        "status": "A",
        "authorized_official_last_name": "ESPARZA",
        "authorized_official_first_name": "XOCHITL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "619-220-7495"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "19777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Affinity Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2013; 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.