Organization Active NPI

Ty M. Galvin, D.D.S.

  • Dental Clinic/Center
  • Renton, WA
National Provider Identifier
1902259237
Registry record updated Jul 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DE00005423 Issued in WA
Legal business name
TY M. GALVIN, D.D.S.
Practice address
130 S 3Rd PL Ste 2
Renton, WA 98057-2439
Phone
(425) 255-1661
NPI assigned
Jul 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2016

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

Authorized official

Name
Dr. Ty M. Galvin, D.D.S.NPI 1427129907
Title
Dentist
Phone
(425) 255-1661

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)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DE00005423 WA Primary

Addresses

Primary practice location

130 S 3Rd PL Ste 2
Renton, WA 98057-2439

Mailing address

130 S 3Rd PL Ste 2
Renton, WA 98057-2439
Phone (425) 255-1661

National Provider Directory

National Provider Directory

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": "1469059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469059200000",
    "number": "1902259237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 S 3RD PL STE 2",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572439",
            "telephone_number": "425-255-1661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 S 3RD PL STE 2",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572439",
            "telephone_number": "425-255-1661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TY M. GALVIN, D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-21",
        "last_updated": "2016-07-21",
        "status": "A",
        "authorized_official_last_name": "GALVIN",
        "authorized_official_first_name": "TY",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "425-255-1661",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "DE00005423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2016; 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.