Active NPI
Mariella Tatiana Garcia, DDS
- Pediatric Dentistry
- Seattle, WA
National Provider Identifier
1073789822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DE00010356
- Practice address
- 6222 NE 74TH St
Seattle, WA 98115-8158 - Phone
- (206) 543-5800
- Fax
- (206) 543-0063
- NPI assigned
- May 1, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DE00010356 | WA | Primary |
Addresses
Primary practice location
6222 NE 74TH St
Seattle, WA 98115-8158
Mailing address
76 Cedar St
Unit 1002
Seattle, WA 98121-4100
Phone (206) 599-9466
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE00010356 | WA | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357776000000",
"number": "1073789822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "76 CEDAR ST",
"address_2": "UNIT 1002",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981214100",
"telephone_number": "206-599-9466",
"fax_number": "206-543-0063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6222 NE 74TH ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981158158",
"telephone_number": "206-543-5800",
"fax_number": "206-543-0063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "MARIELLA",
"middle_name": "TATIANA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-01",
"last_updated": "2013-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "WA",
"license": "DE00010356",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.