Individual provider Active NPI

Dorothy Anne Eugenio Garcia, RDH, BSDH

  • Dental Hygienist
  • University Place, WA
National Provider Identifier
1083096150
Registry record updated Jun 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
28675 Issued in CA
Practice address
2426 70TH Ave W
Apt. 215
University Place, WA 98466-5455
Phone
(360) 362-6638
NPI assigned
Jun 24, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 28675 CA Primary

Addresses

Primary practice location

2426 70TH Ave W
Apt. 215
University Place, WA 98466-5455

Mailing address

2426 70TH Ave W
Apt. 215
University Place, WA 98466-5455
Phone (360) 362-6638

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

NPI Registry JSON

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

{
    "created_epoch": "1435104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435104000000",
    "number": "1083096150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2426 70TH AVE W",
            "address_2": "APT. 215",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984665455",
            "telephone_number": "360-362-6638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2426 70TH AVE W",
            "address_2": "APT. 215",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984665455",
            "telephone_number": "360-362-6638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "DOROTHY ANNE",
        "middle_name": "EUGENIO",
        "credential": "RDH, BSDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-24",
        "last_updated": "2015-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "28675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in University Place, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2015; 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.