Organization Active NPI

Tranquil Teeth LLC

Doing business as Syracuse Dental Clinic

  • Dental Clinic/Center
  • Syracuse, NE
National Provider Identifier
1316787138
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
TRANQUIL TEETH LLC
Doing business as
Syracuse Dental Clinic
Practice address
935 1St St
Syracuse, NE 68446-9612
Phone
(402) 269-3160
Fax
(402) 269-3174
NPI assigned
May 29, 2024
Last updated
May 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Authorized official

Name
Dr. Tracy N Garcia, D.D.S.NPI 1548413784
Title
Owner/Dentist
Phone
(402) 525-4664

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

935 1St St
Syracuse, NE 68446-9612

Mailing address

PO Box L1
Syracuse, NE 68446-0652
Phone (402) 269-3160

Other identifiers 2

IdentifierTypeStateIssuer
1548413784MedicaidNE
1346315777MedicaidNE

Other names 1

  • Syracuse Dental Clinic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1716940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716940800000",
    "number": "1316787138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX L1",
            "city": "SYRACUSE",
            "state": "NE",
            "postal_code": "684460652",
            "telephone_number": "402-269-3160",
            "fax_number": "402-269-3174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 1ST ST",
            "city": "SYRACUSE",
            "state": "NE",
            "postal_code": "684469612",
            "telephone_number": "402-269-3160",
            "fax_number": "402-269-3174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANQUIL TEETH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-29",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "402-525-4664",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1548413784",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1346315777",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Syracuse Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Syracuse, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; 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.