Individual provider Active NPI

Ricardo Garcia, D.D.S, M.S

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • San Juan, TX
National Provider Identifier
1295046019
Registry record updated Jun 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
13873 Issued in TX
Practice address
1203 N Raul Longoria Rd Ste K
San Juan, TX 78589-3742
Phone
(956) 783-9595
Fax
(956) 783-9519
NPI assigned
Jun 25, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 13873 TX Primary

Addresses

Primary practice location

1203 N Raul Longoria Rd Ste K
San Juan, TX 78589-3742

Mailing address

1203 N Raul Longoria Rd Ste K
San Juan, TX 78589-3742
Phone (956) 783-9595

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)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
13873TXMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Orthodontics & Dentofacial Orthopedics, P.a. Orthodontics and Dentofacial Orthopedics 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1277424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277424000000",
    "number": "1295046019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 N RAUL LONGORIA RD STE K",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "785893742",
            "telephone_number": "956-783-9595",
            "fax_number": "956-783-9519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 N RAUL LONGORIA RD STE K",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "785893742",
            "telephone_number": "956-783-9595",
            "fax_number": "956-783-9519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "RICARDO",
        "name_prefix": "Dr.",
        "credential": "D.D.S, M.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-25",
        "last_updated": "2010-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "13873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2010; 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.