NPIMap

Organization Active NPI

Pedro S. Garcia DDS., PC

  • General Practice Dentistry
  • West Haven, CT
National Provider Identifier
1073862520
Registry record updated Aug 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
08110 Issued in CT
Legal business name
PEDRO S. GARCIA DDS., PC
Practice address
328 Main St
West Haven, CT 06516-4425
Phone
(203) 931-8885
Fax
(203) 931-8876
NPI assigned
Aug 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2012

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

Authorized official

Name
Mr. Pedro S. Garcia, DDSNPI 1316012842
Title
General
Phone
(203) 931-8885

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 08110 CT Primary

Addresses

Primary practice location

328 Main St
West Haven, CT 06516-4425

Mailing address

328 Main St
West Haven, CT 06516-4425
Phone (203) 931-8885

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1346284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346284800000",
    "number": "1073862520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 MAIN ST",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065164425",
            "telephone_number": "203-931-8885",
            "fax_number": "203-931-8876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 MAIN ST",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065164425",
            "telephone_number": "203-931-8885",
            "fax_number": "203-931-8876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDRO S. GARCIA DDS., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-30",
        "last_updated": "2012-08-30",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "GENERAL",
        "authorized_official_telephone_number": "203-931-8885",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "08110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; 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.