GRANT GALLUP
NPI 1215667092
Dentist - General Practice in Gainesville, FL
About Grant Gallup NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRANT GALLUP (NPI 1215667092) is an individual general practice provider in Gainesville, Florida, licensed in Florida (26932) and active in the NPI registry since June 2022. He has opted out of Medicare through April 2, 2028 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Grant Gallup has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 2, 2024 through April 2, 2028.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 32607 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Grant Gallup's NPI number?
The NPI number for Grant Gallup is 1215667092. It was assigned to this individual provider in the NPPES registry on June 14, 2022.
Where is Grant Gallup located?
Grant Gallup practices at 3909 Newberry Rd Ste G, Gainesville, FL 32607. The listed phone number is (352) 371-9831.
What is Grant Gallup's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Grant Gallup enrolled in Medicare?
No. Grant Gallup has opted out of Medicare through April 2, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
What insurance does Grant Gallup accept?
Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Solstice Benefits and UnitedHealthcare list Grant Gallup as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Grant Gallup was last updated on June 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Grant Gallup · NPI 1215667092
General Practice provider in Gainesville, Florida. Individual provider, active in the CMS NPPES registry since June 14, 2022.
## Identity
- **NPI:** 1215667092 (Entity type: Individual)
- **Enumerated:** June 14, 2022
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** 26932 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 3909 NEWBERRY RD STE G, Gainesville, FL 32607-2367
- **Phone:** (352) 371-9831
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through April 2, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** June 14, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1215667092) · Data from the CMS NPPES public registry.