Active NPI
Alexis Leigh Gallagher, DDS, MS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Rockford, MI
National Provider Identifier
1861057119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 2901022027
- Practice address
- 6840 Northway Dr NE
Rockford, MI 49341-7568 - Phone
- (616) 863-0600
- NPI assigned
- May 2, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 2901022027 | MI | Primary |
Addresses
Primary practice location
6840 Northway Dr NE
Rockford, MI 49341-7568
Mailing address
6412 Summer Meadows Dr NE
Rockford, MI 49341-7101
Phone (517) 862-4249
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2901022027 | MI | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556755200000",
"number": "1861057119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6412 SUMMER MEADOWS DR NE",
"city": "ROCKFORD",
"state": "MI",
"postal_code": "493417101",
"telephone_number": "517-862-4249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6840 NORTHWAY DR NE",
"city": "ROCKFORD",
"state": "MI",
"postal_code": "493417568",
"telephone_number": "616-863-0600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLAGHER",
"first_name": "ALEXIS",
"middle_name": "LEIGH",
"name_prefix": "Dr.",
"credential": "DDS, MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-02",
"last_updated": "2019-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "MI",
"license": "2901022027",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.