NPIMap

Organization Active NPI

Mauricio Garcia, DDS, PLLC

  • Dental Clinic/Center
  • Leesburg, VA
National Provider Identifier
1174952683
Registry record updated Nov 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
0401413936 Issued in VA
Legal business name
MAURICIO GARCIA, DDS, PLLC
Practice address
21 Fort Evans Rd NE Ste E
Leesburg, VA 20176-4488
Phone
(703) 777-7307
NPI assigned
Nov 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2013

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

Authorized official

Name
Dr. Mauricio Garcia, DDSNPI 1275840555
Title
General Dentist
Phone
(703) 777-7307

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 0401413936 VA Primary

Addresses

Primary practice location

21 Fort Evans Rd NE Ste E
Leesburg, VA 20176-4488

Mailing address

21 Fort Evans Rd NE Ste E
Leesburg, VA 20176-4488
Phone (703) 777-7307

Other names 1

  • Leesburg Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1383609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383609600000",
    "number": "1174952683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 FORT EVANS RD NE STE E",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201764488",
            "telephone_number": "703-777-7307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 FORT EVANS RD NE STE E",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201764488",
            "telephone_number": "703-777-7307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAURICIO GARCIA, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-05",
        "last_updated": "2013-11-05",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "MAURICIO",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "703-777-7307",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "VA",
            "license": "0401413936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Leesburg Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Leesburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2013; 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.