Paula Deanne Gallup, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

18748 Issued in TX

Practice address

218 W 2ND Ave
Corsicana, TX 75110-3003

Phone

(903) 872-3981

NPI assigned

Aug 26, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Gallup Dental Inc

  • Dentist
  • Corsicana, TX
  • NPI 1447356639
  NPD (past) Authorized official

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

{
    "created_epoch": "1219708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219708800000",
    "number": "1841447448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 W 2ND AVE",
            "city": "CORSICANA",
            "state": "TX",
            "postal_code": "751103003",
            "telephone_number": "903-872-3981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 W 2ND AVE",
            "city": "CORSICANA",
            "state": "TX",
            "postal_code": "751103003",
            "telephone_number": "903-872-3981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLUP",
        "first_name": "PAULA",
        "middle_name": "DEANNE",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-26",
        "last_updated": "2008-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "18748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Christian Frenzel, PTA
• Emily Fry, LPC
• Steven Lee Gaines
• Gallup Dental Inc
• Asa Nathaniel Gallup, D.D.S.
• Gantt Medical, PLLC
• Marti M Gantt, PA-C
• Daphne Garrett
• Jennifer Lynn Gillen
• Shawn Ray Gillham, PT

• General Practice Dentistry in Corsicana, TX
• Providers in Corsicana, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.