Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1528518453 Individual Practitioner Male Practitioner

Dr. Nicolas Gallegos , DDS

Dentist - General Practice • Spokane, WA

Professional Overview & Biography Verified Profile Summary

Dr. Nicolas Gallegos, DDS is a registered healthcare professional specializing in Dentist - General Practice in Spokane, WA. Practice services are available at 6821 N COUNTRY HOMES BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6821 N Country Homes Blvd

Spokane, WA 992084372

Telephone 8017922999
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Spokane, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
145 Specialists

Practicing in Spokane, WA (3345 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WA DE60967841

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Private Practice
84-1759763 (WA)

Secondary Practice Locations

590 Foothill Dr

Salt Lake City, UT 84148

Phone: 8015841206

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
Dr. Jack Ashlock , DDS

Dentist - General Practice

NPI 1174505002

Doctor of Dental Surgery

NPI 1265709307

Doctor of Dental Surgery

Dr. Bryan Correll , DDS

Dentist - General Practice

NPI 1336153501

Doctor of Dental Surgery

Deborah Peterson , PT

Physical Therapist

NPI 1346200367

Physical Therapist

NPI 1477630655

Doctor of Dental Surgery

NPI 1568759694

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location July 24, 2019

Registered at 6821 N COUNTRY HOMES BLVD, SPOKANE, WA 992084372 (Tel: 8017922999)

📍
Updated Business Mailing Address July 24, 2019

Registered at 6906 S MORAN VIEW ST, SPOKANE, WA 992248468 (Tel: 8017922999)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 24, 2019

Dentist (License #DE60967841 in WA)

NPI Profile Active October 04, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location October 04, 2016

Registered at 590 FOOTHILL DR, SALT LAKE CITY, UT 84148 (Tel: 8015841206)

📍
Updated Business Mailing Address October 04, 2016

Registered at 12602 S. VARENNA, HERRIMAN, UT 84096

👤
Provider Name / Credentials Updated October 04, 2016

Recorded as NICOLAS GALLEGOS, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 04, 2016

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration October 04, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1528518453
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 04, 2016
Last Update: July 24, 2019
Sole Proprietor: Yes

Mailing Address

6906 S Moran View St

Spokane, WA 992248468

Phone: 8017922999

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.