Active NPI
Mary Rose Garcia, DMD
- Dentist
- Belmont, CA
National Provider Identifier
1134523293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 40593
- Practice address
- 1601 El Camino Real Ste 305
Belmont, CA 94002-3943 - Phone
- (650) 551-1601
- Fax
- (650) 551-1611
- NPI assigned
- Oct 20, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 | 40593 | CA | Primary |
Addresses
Primary practice location
1601 El Camino Real Ste 305
Belmont, CA 94002-3943
Mailing address
1601 El Camino Real Ste 305
Belmont, CA 94002-3943
Phone (650) 551-1601
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 |
|---|---|---|---|
| 40593 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary Rose Garcia DMD Inc | Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413763200000",
"number": "1134523293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 EL CAMINO REAL STE 305",
"city": "BELMONT",
"state": "CA",
"postal_code": "940023943",
"telephone_number": "650-551-1601",
"fax_number": "650-551-1611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 EL CAMINO REAL STE 305",
"city": "BELMONT",
"state": "CA",
"postal_code": "940023943",
"telephone_number": "650-551-1601",
"fax_number": "650-551-1611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "MARY ROSE",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-20",
"last_updated": "2014-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "40593",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Belmont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.