John R Garrard, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D-3400 Issued in ID

Practice address

301 Scott Ave
Rupert, ID 83350-1800

Phone

(208) 436-6406

Fax

(208) 436-9678

NPI assigned

Jun 28, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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 ID

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Doctors Garrard and Wayment Dentists PLLC

  • General Practice Dentistry
  • Rupert, ID
  • NPI 1497974141
  NPD (past) Authorized official

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124056544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 338",
            "city": "RUPERT",
            "state": "ID",
            "postal_code": "833500338",
            "telephone_number": "208-436-6406",
            "fax_number": "208-436-9678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 SCOTT AVE",
            "city": "RUPERT",
            "state": "ID",
            "postal_code": "833501800",
            "telephone_number": "208-436-6406",
            "fax_number": "208-436-9678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRARD",
        "first_name": "JOHN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D-3400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Health Services Corporation (Family Health Services Rupert Pharmacy)
• Family Vision and Eye Care PA
• Bonita Jo Anne Frazier-Shewmaker, LCPC, LMFT, NCC
• Jessica Shirley Gaby, R.D.H.
• Kai Samuel Garner, DPT
• Peggy Goodman, P.T.
• Benjamin Guercio, CRNA
• Heather Harper
• Terra J Haynes
• Maria E. Hernandez, P.T.

• General Practice Dentistry in Rupert, ID
• Providers in Rupert, ID by specialty
• General Practice Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.