Individual provider Active NPI

Reinaldo Lasanta-Garcia, DMD

  • General Practice Dentistry
  • Durham, NC
National Provider Identifier
1235360595
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9082 Issued in NC
Practice address
3622 Shannon Rd Ste 101
Durham, NC 27707-3771
Phone
(919) 213-0505
Fax
(919) 213-0505
NPI assigned
Aug 5, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019.028164 IL
General Practice Dentistry 1223G0001X 9082 NC Primary
Dentist 122300000X 018001733 IL
General Practice Dentistry 1223G0001X DN22426 FL

Addresses

Primary practice location

3622 Shannon Rd Ste 101
Durham, NC 27707-3771

Mailing address

PO Box 952066
Cleveland, OH 44193-0051
Phone (919) 213-0505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20160201001275 NC Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8022312743

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
018001733ILMDDentist
019.028164ILMDGeneral Practice Dentistry
9082NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lasanta & Hernandez PLLC General Practice Current Accepting new patients
Bill Gates DDS Ms Past Accepting new patients

Locations

3622 Shannon Rd
Ste 101
Durham, NC 27707
Phone (919) 493-1402

Interoperability endpoints

  • Direct secure messaging: reinaldo.lasanta-garcia@hswfl.planetddsdirect.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1249430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1235360595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 952066",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930051",
            "telephone_number": "919-213-0505",
            "fax_number": "919-213-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3622 SHANNON RD STE 101",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277073771",
            "telephone_number": "919-213-0505",
            "fax_number": "919-213-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASANTA-GARCIA",
        "first_name": "REINALDO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-05",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.028164",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "9082",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "018001733",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN22426",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.