Mary Rose Garcia DMD Inc

Primary specialty

DentistTaxonomy code 122300000X

License

40593 Issued in CA

Legal business name

MARY ROSE GARCIA DMD INC

Doing business as

MID - Peninsula Dental Group

Practice address

1601 El Camino Real
Ste 305
Belmont, CA 94002

Phone

(650) 651-1601

Fax

(650) 551-1611

NPI assigned

Sep 12, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mary Rose Ventura Garcia, DMDNPI 1134523293

Title

President General Dentist

Phone

(650) 551-1601

Specialties & licenses 1

Addresses

Other names 1

• MID - Peninsula Dental Group Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary Rose Garcia, DMD

  • Dentist
  • Belmont, CA
  • NPI 1134523293
  NPD (past) Authorized official

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245334713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 EL CAMINO REAL",
            "address_2": "STE 305",
            "city": "BELMONT",
            "state": "CA",
            "postal_code": "94002",
            "telephone_number": "650-651-1601",
            "fax_number": "650-551-1611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 EL CAMINO REAL",
            "address_2": "STE 305",
            "city": "BELMONT",
            "state": "CA",
            "postal_code": "94002",
            "telephone_number": "650-651-1601",
            "fax_number": "650-551-1611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY ROSE GARCIA DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "MARY ROSE",
        "authorized_official_middle_name": "VENTURA",
        "authorized_official_title_or_position": "PRESIDENT GENERAL DENTIST",
        "authorized_official_telephone_number": "650-551-1601",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "40593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MID - Peninsula Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nalini Odom Madison, LPT
• Martin Mansmann, MA, M.F.T.
• Brandon R Mar, PT,DPT NCS
• Janet Marble, MSW
• Maria Lourdes Yeo DDS Dental Corp
• May Acupuncture Professional Corporation (May Acupuncture Clinic)
• Maren McCabe, RN, IBCLC
• Christine Wood McGill, PHD LCSW
• Mark Joseph McMahon, DPT
• Madeline McNamara

• Dentist in Belmont, CA
• Providers in Belmont, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.