NPIMap

Organization Active NPI

Shelly M Galvin, DDS, PA

  • General Practice Dentistry
  • Kansas City, KS
National Provider Identifier
1710100441
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
KS6671 Issued in KS
Legal business name
SHELLY M GALVIN, DDS, PA
Practice address
4527 Rainbow Blvd
Kansas City, KS 66103-3428
Phone
(913) 432-0765
Fax
(913) 432-6022
NPI assigned
Apr 11, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Shelly M Galvin, DDSNPI 1538148663
Title
President
Phone
(913) 432-0765

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X KS6671 KS Primary

Addresses

Primary practice location

4527 Rainbow Blvd
Kansas City, KS 66103-3428

Mailing address

4527 Rainbow Blvd
Kansas City, KS 66103-3428
Phone (913) 432-0765

Other names 1

  • Westwood Dental Other name

National Provider Directory

National Provider Directory

Locations

4527 Rainbow Blvd
Kansas City, KS 66103
Phone (913) 432-0765

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710100441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4527 RAINBOW BLVD",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661033428",
            "telephone_number": "913-432-0765",
            "fax_number": "913-432-6022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4527 RAINBOW BLVD",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661033428",
            "telephone_number": "913-432-0765",
            "fax_number": "913-432-6022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELLY M GALVIN, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GALVIN",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "913-432-0765",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "KS6671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westwood Dental",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kansas City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.