Individual provider Active NPI

Ronniette Cristina Garcia

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • New York, NY
National Provider Identifier
1073792354
Registry record updated Nov 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
053697-1 Issued in NY
Practice address
30 5TH Ave
Apt 1K
New York, NY 10011-8859
Phone
(212) 533-7880
Fax
(212) 533-0162
NPI assigned
Nov 2, 2007
Last updated
Nov 2, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 053697-1 NY Primary

Addresses

Primary practice location

30 5TH Ave
Apt 1K
New York, NY 10011-8859

Mailing address

30 5TH Ave
Apt 1K
New York, NY 10011-8859
Phone (212) 533-7880

Other names 1

  • Dr. Ronniette Cristina Leifert Other name

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

LicenseStateTypeSpecialty
053697-1NYMDOrthodontics and Dentofacial Orthopedic Dentist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193961600000",
    "number": "1073792354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 5TH AVE",
            "address_2": "APT 1K",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100118859",
            "telephone_number": "212-533-7880",
            "fax_number": "212-533-0162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 5TH AVE",
            "address_2": "APT 1K",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100118859",
            "telephone_number": "212-533-7880",
            "fax_number": "212-533-0162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "RONNIETTE",
        "middle_name": "CRISTINA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-02",
        "last_updated": "2007-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "053697-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RONNIETTE",
            "last_name": "LEIFERT",
            "middle_name": "CRISTINA",
            "prefix": "DR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; 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.