Active NPI
Andrew Garcia
- Dentist
- Sycamore, IL
National Provider Identifier
1124689385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019032222
- Practice address
- 1840 Dekalb Ave Ste C
Sycamore, IL 60178-3190 - Phone
- (815) 895-4625
- NPI assigned
- Jun 27, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019032222 | IL | Primary |
Addresses
Primary practice location
1840 Dekalb Ave Ste C
Sycamore, IL 60178-3190
Mailing address
1840 Dekalb Ave Ste C
Sycamore, IL 60178-3190
Phone (815) 895-4625
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
| License | State | Type | Specialty |
|---|---|---|---|
| 019032222 | IL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561593600000",
"number": "1124689385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1840 DEKALB AVE STE C",
"city": "SYCAMORE",
"state": "IL",
"postal_code": "601783190",
"telephone_number": "815-895-4625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1840 DEKALB AVE STE C",
"city": "SYCAMORE",
"state": "IL",
"postal_code": "601783190",
"telephone_number": "815-895-4625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "ANDREW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-27",
"last_updated": "2019-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019032222",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sycamore, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.