Active NPI
Gwyn Anne Galan, DDS
- General Practice Dentistry
- Cleveland, OH
National Provider Identifier
1801935614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 18404
- Practice address
- 4187 Pearl Road
Suite #215
Cleveland, OH 44109 - Phone
- (216) 741-1980
- NPI assigned
- Feb 6, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 18404 | OH | Primary |
Addresses
Primary practice location
4187 Pearl Road
Suite #215
Cleveland, OH 44109
Mailing address
4187 Pearl Road
Suite #215
Cleveland, OH 44109
Phone (216) 741-1980
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0648517 | Medicaid | OH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 18404 | OH | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801935614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4187 PEARL ROAD",
"address_2": "SUITE #215",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "44109",
"telephone_number": "216-741-1980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4187 PEARL ROAD",
"address_2": "SUITE #215",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "44109",
"telephone_number": "216-741-1980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALAN",
"first_name": "GWYN",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OH",
"license": "18404",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0648517",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.