Shalisa Garner, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22991 Issued in TX

Practice address

3360 W FM 544
Suite 930
Wylie, TX 75098-9424

Phone

(972) 915-0484

NPI assigned

Dec 5, 2006

Sex

Female

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 TX

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

Practice roles

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.

• Woodbridge Dental Group and Orthodontics, PC

  • General Practice Dentistry
  • Wylie, TX
  • NPI 1386975217
  NPD (past)

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432684800000",
    "number": "1194883595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3360 W FM 544",
            "address_2": "SUITE 930",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750989424",
            "telephone_number": "972-915-0484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3360 W FM 544",
            "address_2": "SUITE 930",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750989424",
            "telephone_number": "972-915-0484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARNER",
        "first_name": "SHALISA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2015-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "22991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaivy Garcia, RN
• Michael A Garcia, RN
• Mikayla Garcia
• Ashley Gardner, MD
• Hillary Robin Gargotta, FNP-C
• Emmerson Garrison
• Brandi Lee Garza, MA, LPC
• Genoveva Garza, R.PH.
• Gemau Healthcare Services LLC
• Bola George

• General Practice Dentistry in Wylie, TX
• Providers in Wylie, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2015; 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.