Active NPI
Steven W Garlick, D.D.S.
- Dentist
- El Paso, TX
National Provider Identifier
1235426818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 25079
- Practice address
- 9411 Alameda Ave Ste P
El Paso, TX 79907-5620 - Phone
- (915) 858-6868
- NPI assigned
- Jul 5, 2011
- Last updated
- Jul 5, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 25079 | TX | Primary |
Addresses
Primary practice location
9411 Alameda Ave Ste P
El Paso, TX 79907-5620
Mailing address
6501 Grand Ridge Dr
El Paso, TX 79912-7479
Phone (210) 849-0823
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- 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 |
|---|---|---|---|---|
| I20161005002047 | AZ | Order and Referring Only - Other (Physician) | 0143518274 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25079 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metro Dental Partners LLC | 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.
-
dba Risas Dental and Braces
- General Practice Dentistry
- Phoenix, AZ
- NPI 1477819555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309824000000",
"number": "1235426818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6501 GRAND RIDGE DR",
"city": "EL PASO",
"state": "TX",
"postal_code": "799127479",
"telephone_number": "210-849-0823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9411 ALAMEDA AVE STE P",
"city": "EL PASO",
"state": "TX",
"postal_code": "799075620",
"telephone_number": "915-858-6868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARLICK",
"first_name": "STEVEN",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-05",
"last_updated": "2011-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "25079",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2011; 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.