NPIMap

Organization Active NPI

Galva Family Dentistry, Inc.

Doing business as Aledo Family Dentistry

  • General Practice Dentistry
  • Aledo, IL
National Provider Identifier
1982069209
Registry record updated Dec 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019027897 Issued in IL
Legal business name
GALVA FAMILY DENTISTRY, INC.
Doing business as
Aledo Family Dentistry
Practice address
403 NW 4TH St
Aledo, IL 61231-1209
Phone
(309) 582-2022
Fax
(309) 582-2022
NPI assigned
Dec 31, 2015
Last updated
Dec 31, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
GALVA FAMILY DENTISTRY, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 31, 2015

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

Authorized official

Name
Scott Bialobreski, D.D.S.NPI 1447571088
Title
President
Phone
(309) 932-2000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019027897 IL Primary

Addresses

Primary practice location

403 NW 4TH St
Aledo, IL 61231-1209

Mailing address

217 Market St
Galva, IL 61434-1766
Phone (309) 932-2000

Other names 1

  • Aledo Family Dentistry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Galva Family Dentistry Inc7 organizations share this tax ID, including this one
Part of
Galva Family Dentistry Inc

Other organizations with this tax ID 6

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

Locations

403 NW 4th St
Aledo, IL 61231
Phone (309) 582-2022

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1451520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451520000000",
    "number": "1982069209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 MARKET ST",
            "city": "GALVA",
            "state": "IL",
            "postal_code": "614341766",
            "telephone_number": "309-932-2000",
            "fax_number": "309-932-8904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 NW 4TH ST",
            "city": "ALEDO",
            "state": "IL",
            "postal_code": "612311209",
            "telephone_number": "309-582-2022",
            "fax_number": "309-582-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALVA FAMILY DENTISTRY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GALVA FAMILY DENTISTRY, INC.",
        "enumeration_date": "2015-12-31",
        "last_updated": "2015-12-31",
        "status": "A",
        "authorized_official_last_name": "BIALOBRESKI",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "309-932-2000",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019027897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aledo Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aledo, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2015; 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.