Organization Active NPI

Ken Garcia DDS, a Professional Corporation

  • General Practice Dentistry
  • Laguna Beach, CA
National Provider Identifier
1033356589
Registry record updated Jul 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
KEN GARCIA DDS, A PROFESSIONAL CORPORATION
Practice address
444 Poplar St.
Laguna Beach, CA 92651
Phone
(949) 874-0534
NPI assigned
Jan 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2020

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

Authorized official

Name
Ken Garcia
Title
Dentist
Phone
(949) 874-0534

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

444 Poplar St.
Laguna Beach, CA 92651

Mailing address

444 Poplar St.
Laguna Beach, CA 92651
Phone (949) 874-0534

National Provider Directory

National Provider Directory

Locations

610 N Coast Hwy
Ste 110
Laguna Beach, CA 92651
Phone (949) 497-4900

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": "1232409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595721600000",
    "number": "1033356589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 POPLAR ST.",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "92651",
            "telephone_number": "949-874-0534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 POPLAR ST.",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "92651",
            "telephone_number": "949-874-0534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEN GARCIA DDS, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-20",
        "last_updated": "2020-07-26",
        "certification_date": "2020-07-26",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "KEN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "949-874-0534"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.