Mariela Garcia de la Noceda, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

4779887 Issued in PR

Practice address

1942 State St
Columbus, IN 47201-6966

Phone

(787) 810-9193

NPI assigned

Jun 19, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1434672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470614400000",
    "number": "1114309747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 W 9TH ST",
            "address_2": "UNIT 1010",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462023121",
            "telephone_number": "787-810-9193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1942 STATE ST",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472016966",
            "telephone_number": "787-810-9193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA DE LA NOCEDA",
        "first_name": "MARIELA",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-19",
        "last_updated": "2016-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PR",
            "license": "4779887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Gaddis, RBT
• Jamie Ann Galle, O.D.
• Emily Ann Galloway, DMD
• Mallory Galloway, PA-C
• Ashley Marie Gamen, RBT
• Ana Karen Garcia Gonzalez, FNP-C
• Karla N Garcia Portalatin, DC
• Amber Jane Hill Garlick, LCSW
• Jillian Garlitch
• Megan Renee Garner, PTA

• Dentist in Columbus, IN
• Providers in Columbus, IN by specialty
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.