NPIMap

Organization Active NPI

Jose E. Gallegos, D.D.S., P.C.

  • General Practice Dentistry
  • Midlothian, VA
National Provider Identifier
1861555740
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401007260 Issued in VA
Legal business name
JOSE E. GALLEGOS, D.D.S., P.C.
Practice address
13861 Hull Street Rd
Suite 200
Midlothian, VA 23112-2003
Phone
(804) 739-9190
Fax
(804) 739-9543
NPI assigned
Dec 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
Ms. Mary L Haynes
Title
Financial Coordinator
Phone
(804) 739-9830

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 0401007260 VA Primary

Addresses

Primary practice location

13861 Hull Street Rd
Suite 200
Midlothian, VA 23112-2003

Mailing address

5424 Sunrise Bluff CT
Midlothian, VA 23112-2516
Phone (804) 739-4972

National Provider Directory

National Provider Directory
Tax ID family
Jose E Gallegos DDS PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

13861 Hull Street Rd
Ste 200
Midlothian, VA 23112
Phone (804) 739-9190

Practitioners & affiliated clinicians

Practitioners 2

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": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861555740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5424 SUNRISE BLUFF CT",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231122516",
            "telephone_number": "804-739-4972",
            "fax_number": "804-739-9543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13861 HULL STREET RD",
            "address_2": "SUITE 200",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231122003",
            "telephone_number": "804-739-9190",
            "fax_number": "804-739-9543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE E. GALLEGOS, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAYNES",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "FINANCIAL COORDINATOR",
        "authorized_official_telephone_number": "804-739-9830",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401007260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

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.