NPIMap

Organization Active NPI

Galvez Dental Corporation

  • General Practice Dentistry
  • Stockton, CA
National Provider Identifier
1760689640
Registry record updated Apr 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
25322 Issued in CA
Legal business name
GALVEZ DENTAL CORPORATION
Practice address
123 S Commerce St
Ste. C
Stockton, CA 95202-2837
Phone
(209) 465-5823
NPI assigned
Jul 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2016

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

Authorized official

Name
Corazon Abellera Galvez, D.M.D.NPI 1609091347
Title
President
Phone
(209) 465-5823

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 25322 CA Primary

Addresses

Primary practice location

123 S Commerce St
Ste. C
Stockton, CA 95202-2837

Mailing address

123 S Commerce St
Ste. C
Stockton, CA 95202-2837
Phone (209) 465-5823

National Provider Directory

National Provider Directory

Locations

123 S Commerce St
Ste C
Stockton, CA 95202
Phone (209) 465-5823

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461024000000",
    "number": "1760689640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 S COMMERCE ST",
            "address_2": "STE. C",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952022837",
            "telephone_number": "209-465-5823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 S COMMERCE ST",
            "address_2": "STE. C",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952022837",
            "telephone_number": "209-465-5823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALVEZ DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-02",
        "last_updated": "2016-04-19",
        "status": "A",
        "authorized_official_last_name": "GALVEZ",
        "authorized_official_first_name": "CORAZON",
        "authorized_official_middle_name": "ABELLERA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-465-5823",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "25322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2016; 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.