Individual provider Active NPI

Monica Arabelle Garnache, DMD

  • Dentist
  • Ormond Beach, FL
National Provider Identifier
1205973393
Registry record updated Aug 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
27179 Issued in FL
Practice address
1298 W Granada Blvd
Ormond Beach, FL 32174-5901
Phone
(386) 682-3950
NPI assigned
Jan 30, 2007
Last updated
Aug 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 27179 FL Primary
General Practice Dentistry 1223G0001X 55432 CA

Addresses

Primary practice location

1298 W Granada Blvd
Ormond Beach, FL 32174-5901

Mailing address

825 E 18TH Ave
New Smyrna Beach, FL 32169-3415
Phone (415) 328-6966

Other practice location 1

630 Freitas Pkwy
San Rafael, CA 94903-3106
Phone (415) 479-1273

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
55432CAMDGeneral Practice Dentistry
27179FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Monica Garnache DMD Inc General Practice 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1205973393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 E 18TH AVE",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321693415",
            "telephone_number": "415-328-6966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1298 W GRANADA BLVD",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321745901",
            "telephone_number": "386-682-3950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "630 Freitas Pkwy",
            "address_purpose": "LOCATION",
            "city": "San Rafael",
            "state": "CA",
            "postal_code": "949033106",
            "country_code": "US",
            "telephone_number": "415-479-1273",
            "fax_number": "415-479-9840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARNACHE",
        "first_name": "MONICA",
        "middle_name": "ARABELLE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "27179",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "55432",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; 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.