Organization Active NPI

Sidney R Gallegos DDS

  • Pediatric Dentistry
  • Federal Way, WA
National Provider Identifier
1992850234
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
SIDNEY R GALLEGOS DDS
Practice address
926 S 348TH St
Federal Way, WA 98003-7021
Phone
(253) 924-0717
Fax
(253) 925-1439
NPI assigned
Jan 25, 2007
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
Dr. Sidney R Gallegos, DDSNPI 1669548103
Title
Owner
Phone
(253) 924-0717

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
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

926 S 348TH St
Federal Way, WA 98003-7021

Mailing address

926 S 348TH St
Federal Way, WA 98003-7021
Phone (253) 924-0717

National Provider Directory

National Provider Directory

Locations

926 S 348th St
Federal Way, WA 98003
Phone (253) 924-0717

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": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992850234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "926 S 348TH ST",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980037021",
            "telephone_number": "253-924-0717",
            "fax_number": "253-925-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "926 S 348TH ST",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980037021",
            "telephone_number": "253-924-0717",
            "fax_number": "253-925-1439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIDNEY R GALLEGOS DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GALLEGOS",
        "authorized_official_first_name": "SIDNEY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-924-0717",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

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.