Active NPI
Ronald Raymond Garner, DDS
- General Practice Dentistry
- Vista, CA
National Provider Identifier
1194924308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DDS27520
- Practice address
- 612 E Vista Way
Vista, CA 92084-5546 - Phone
- (760) 724-2113
- NPI assigned
- Jul 17, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 27520 | CA | |
| General Practice Dentistry | 1223G0001X | DDS27520 | CA | Primary |
Addresses
Primary practice location
612 E Vista Way
Vista, CA 92084-5546
Mailing address
1235 W Vista Way Ste K
Vista, CA 92083-6234
Phone (760) 724-2113
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150629000276 | CA | Order and Referring Only - Dentist | 4183936529 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27520 | CA | MD | Dentist |
| DDS27520 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705449600000",
"number": "1194924308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1235 W VISTA WAY STE K",
"city": "VISTA",
"state": "CA",
"postal_code": "920836234",
"telephone_number": "760-724-2113",
"fax_number": "760-724-2365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "612 E VISTA WAY",
"city": "VISTA",
"state": "CA",
"postal_code": "920845546",
"telephone_number": "760-724-2113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARNER",
"first_name": "RONALD",
"middle_name": "RAYMOND",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-17",
"last_updated": "2024-01-17",
"certification_date": "2024-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "27520",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "DDS27520",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vista, CA
- Garfield Beach CVS LLC (CVS Pharmacy #08857)
- Garfield Beach CVS LLC (CVS Pharmacy #16425)
- Garfield Beach CVS LLC (CVS Pharmacy #17245)
- Garfield Beach CVS LLC (CVS Pharmacy #09574)
- Aruna Kumari Garg, M.D.
- John Forbes Garretson, MD
- Patricia Adler Lynn Garretson
- Sarah N Garrick
- Dawn Garrison, LA.C
- Gary L Barnes OD Optometric Corporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; 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.