Individual provider Active NPI

Joseph D Gallemore, D.D.S.

  • General Practice Dentistry
  • Yuma, AZ
National Provider Identifier
1902961279
Registry record updated Dec 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4390 Issued in AZ
Practice address
2179 W 24TH St
Yuma, AZ 85364-6240
Phone
(928) 782-4707
Fax
(928) 782-2212
NPI assigned
Dec 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4390 AZ Primary

Addresses

Primary practice location

2179 W 24TH St
Yuma, AZ 85364-6240

Mailing address

2179 W 24TH St
Yuma, AZ 85364-6240
Phone (928) 782-4707

Other practice location 1

1946 E Juan Sanchez Blvd Ste 5
San Luis, AZ 85336-0478
Phone (928) 627-5977

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20220511001109 AZ Practitioner - Dentist 6103898879 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4390AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph D. Gallemore DDS & Associates P.C. General Practice CurrentSince Jan 18, 2022 Accepting new patients
Joseph D. Gallemore DDS & Associates P.C. General Practice Current Accepting new patients

Locations

2179 W 24th St
Yuma, AZ 85364
Phone (928) 782-4707

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607904000000",
    "number": "1902961279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2179 W 24TH ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853646240",
            "telephone_number": "928-782-4707",
            "fax_number": "928-782-2212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2179 W 24TH ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853646240",
            "telephone_number": "928-782-4707",
            "fax_number": "928-782-2212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1946 E Juan Sanchez Blvd Ste 5",
            "address_purpose": "LOCATION",
            "city": "San Luis",
            "state": "AZ",
            "postal_code": "853360478",
            "country_code": "US",
            "telephone_number": "928-627-5977",
            "fax_number": "928-569-0964",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALLEMORE",
        "first_name": "JOSEPH",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-26",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "4390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

Verify at the official NPI Registry.