Individual provider Active NPI

Catherine T McGalloway, DDS

  • Dentist
  • Fond Du Lac, WI
National Provider Identifier
1831233014
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4699-015 Issued in WI
Practice address
211 S National Ave
Fond Du Lac, WI 54935-5359
Phone
(920) 921-8565
Fax
(920) 921-0121
NPI assigned
Feb 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 4699-015 WI Primary

Addresses

Primary practice location

211 S National Ave
Fond Du Lac, WI 54935-5359

Mailing address

211 S National Ave
Fond Du Lac, WI 54935-5359
Phone (920) 921-8565

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150630000611 WI Order and Referring Only - DentistPractitioner - Dentist 9931411279

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4699-015WIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Twohig Family Dentistry, LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831233014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 S NATIONAL AVE",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549355359",
            "telephone_number": "920-921-8565",
            "fax_number": "920-921-0121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 S NATIONAL AVE",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549355359",
            "telephone_number": "920-921-8565",
            "fax_number": "920-921-0121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGALLOWAY",
        "first_name": "CATHERINE",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "4699-015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fond Du Lac, WI

Sources for this page

Verify at the official NPI Registry.