Individual provider Active NPI

Garrett Anthony Garcia, DC

  • Chiropractor
  • Cedar Park, TX
National Provider Identifier
1275165805
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
14365 Issued in TX
Practice address
1103 Cypress Creek Rd Ste 102
Cedar Park, TX 78613-3925
Phone
(512) 814-1018
Fax
(512) 814-1074
NPI assigned
Feb 11, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 14365 TX Primary

Addresses

Primary practice location

1103 Cypress Creek Rd Ste 102
Cedar Park, TX 78613-3925

Mailing address

2596 E Barnett Rd Ste B
Medford, OR 97504-4340
Phone (541) 622-8376

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230413002063 OR Practitioner - Chiropractic 4880021039 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pro Spine and Sport LLCGroup PAC ID 9234440686, 6 clinicians

Practice addresses (Care Compare)

62 N 3Rd St
Central Point, OR 97502-2025
Phone (541) 727-7867

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14365TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Ryan Baker, D.C. P.C. Chiropractor CurrentSince Mar 1, 2023 Accepting new patients
Pro Spine and Sport, LLC CurrentSince Aug 2, 2023 Accepting new patients
Corpus Consano Health & Wellness Chiropractor Current Accepting new patients

Locations

62 N 3rd St
Central Point, OR 97502
Phone (541) 727-7867

333 SW 5th St
Ste B
Grants Pass, OR 97526
Phone (541) 471-0397

Organizations & group practices 3

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": "1581379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1275165805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2596 E BARNETT RD STE B",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975044340",
            "telephone_number": "541-622-8376",
            "fax_number": "512-814-1074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 CYPRESS CREEK RD STE 102",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786133925",
            "telephone_number": "512-814-1018",
            "fax_number": "512-814-1074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "GARRETT",
        "middle_name": "ANTHONY",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-11",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "14365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.