Active NPI
Desert Eyesthetics PC
- Ophthalmic Plastic and Reconstructive Surgery Physician
- Gilbert, AZ
National Provider Identifier
1184076028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmic Plastic and Reconstructive Surgery Physician
- License
- 41599
- Legal business name
- DESERT EYESTHETICS PC
- Practice address
- 1754 E Boston St
Suite 103
Gilbert, AZ 85295-6238 - Phone
- (480) 454-7130
- Fax
- (480) 454-7135
- NPI assigned
- Jul 4, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Denise Dealva Garcia, MD
- Title
- President
- Phone
- (480) 370-1076
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmic Plastic and Reconstructive Surgery Physician | 207WX0200X | 41599 | AZ | Primary |
Addresses
Primary practice location
1754 E Boston St
Suite 103
Gilbert, AZ 85295-6238
Mailing address
1754 E Boston St
Suite 103
Gilbert, AZ 85295-6238
Phone (480) 454-7130
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1754 E Boston St
Ste 103
Gilbert, AZ 85295
Phone (480) 454-7130
1114 S Higley Rd
Mesa, AZ 85206
Phone (480) 264-2295
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmic Plastic and Reconstructive Surgery Physician
- Mesa, AZ
- NPI 1194885590
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467590400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1467590400000",
"number": "1184076028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1754 E BOSTON ST",
"address_2": "SUITE 103",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852956238",
"telephone_number": "480-454-7130",
"fax_number": "480-454-7135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1754 E BOSTON ST",
"address_2": "SUITE 103",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852956238",
"telephone_number": "480-454-7130",
"fax_number": "480-454-7135"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DESERT EYESTHETICS PC",
"organizational_subpart": "NO",
"enumeration_date": "2016-07-04",
"last_updated": "2016-07-04",
"status": "A",
"authorized_official_last_name": "GARCIA",
"authorized_official_first_name": "DENISE",
"authorized_official_middle_name": "DEALVA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "480-370-1076",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207WX0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
"state": "AZ",
"license": "41599",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gilbert, AZ
- Jessica L Dery, PMHNP
- Desert Behavioral Health PC
- Desert Bloom Birth Center LLC
- Desert Dermatology & Skin Cancer Specialists, P.C.
- Desert Dolphin Aquatic Therapy & Rehab
- Desert Heart Hospice LLC
- Desert Horizon Medical Group
- Desert Interventional Spine Consultants
- Desert Medical Group
- Desert Prosthetic & Orthotic Rehabilitation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.