Active NPI
Glasgow Children'S Dental Center, PLLC
- Pediatric Dentistry
- Glasgow, KY
National Provider Identifier
1831686542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 9597
- Legal business name
- GLASGOW CHILDREN'S DENTAL CENTER, PLLC
- Practice address
- 203 Professional Park Dr
Glasgow, KY 42141-3486 - Phone
- (270) 629-5437
- NPI assigned
- Apr 18, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Madison Myers Galloway, DMD, MSD
- Title
- Owner/Provider
- Phone
- (270) 590-3407
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 9597 | KY | Primary |
Addresses
Primary practice location
203 Professional Park Dr
Glasgow, KY 42141-3486
Mailing address
203 Professional Park Dr
Glasgow, KY 42141-3486
Phone (270) 629-5437
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100483120 | Medicaid | KY |
National Provider Directory
National Provider DirectoryLocations
203 Professional Park Dr
Glasgow, KY 42141
Phone (270) 629-5437
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Dentistry
- Bowling Green, KY
- NPI 1992185862
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524009600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529107200000",
"number": "1831686542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 PROFESSIONAL PARK DR",
"city": "GLASGOW",
"state": "KY",
"postal_code": "421413486",
"telephone_number": "270-629-5437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 PROFESSIONAL PARK DR",
"city": "GLASGOW",
"state": "KY",
"postal_code": "421413486",
"telephone_number": "270-629-5437"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GLASGOW CHILDREN'S DENTAL CENTER, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-04-18",
"last_updated": "2018-06-16",
"status": "A",
"authorized_official_last_name": "GALLOWAY",
"authorized_official_first_name": "MADISON",
"authorized_official_middle_name": "MYERS",
"authorized_official_title_or_position": "OWNER/PROVIDER",
"authorized_official_telephone_number": "270-590-3407",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD, MSD"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": "KY",
"license": "9597",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100483120",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glasgow, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.