NPIMap

Organization Active NPI

Juan Jose Galvan DDS Inc

  • General Practice Dentistry
  • Mentor, OH
National Provider Identifier
1851310999
Registry record updated Aug 22, 2020
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Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
18504 Issued in OH
Legal business name
JUAN JOSE GALVAN DDS INC
Practice address
8440 Westport Dr
Mentor, OH 44060-4123
Phone
(440) 266-7200
Fax
(440) 266-0225
NPI assigned
Jul 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Juan J Glavan, DDS
Title
President
Phone
(440) 266-7200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 18504 OH Primary

Addresses

Primary practice location

8440 Westport Dr
Mentor, OH 44060-4123

Mailing address

8440 Westport Dr
Mentor, OH 44060-4123
Phone (440) 266-7200

National Provider Directory

National Provider Directory

Locations

8440 Westport Dr
Mentor, OH 44060
Phone (440) 266-7200

Practitioners & affiliated clinicians

Practitioners 1

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": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851310999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8440 WESTPORT DR",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440604123",
            "telephone_number": "440-266-7200",
            "fax_number": "440-266-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8440 WESTPORT DR",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440604123",
            "telephone_number": "440-266-7200",
            "fax_number": "440-266-0225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUAN JOSE GALVAN DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GLAVAN",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-266-7200",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "18504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mentor, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.