Individual provider Active NPI

Yesenia Garcia, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Pearland, TX
National Provider Identifier
1326236332
Registry record updated Nov 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
22296 Issued in TX
Practice address
12004 Shadow Creek Pkwy Ste 100
Pearland, TX 77584
Phone
(713) 436-1241
Fax
(713) 730-3656
NPI assigned
Oct 4, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 22296 TX
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 22296 TX Primary

Addresses

Primary practice location

12004 Shadow Creek Pkwy Ste 100
Pearland, TX 77584

Mailing address

12004 Shadow Creek Pkwy Ste 100
Pearland, TX 77584-7327
Phone (713) 436-1241

Other practice location 1

12004 Shadow Creek Pkwy Ste 100
Pearland, TX 77584
Phone (713) 436-1241

Other practice location 2

12727 Kimberley Ln Ste 207
Houston, TX 77024-4052
Phone (832) 659-0607

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

State licenses

LicenseStateTypeSpecialty
22296TXMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
G Orthodontics 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": "1191456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541980800000",
    "number": "1326236332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12004 SHADOW CREEK PKWY STE 100",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847327",
            "telephone_number": "713-436-1241",
            "fax_number": "713-730-3656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12004 SHADOW CREEK PKWY STE 100",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "77584",
            "telephone_number": "713-436-1241",
            "fax_number": "713-730-3656"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12004 Shadow Creek Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Pearland",
            "state": "TX",
            "postal_code": "77584",
            "country_code": "US",
            "telephone_number": "713-436-1241",
            "fax_number": "713-730-3656",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12727 Kimberley Ln Ste 207",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770244052",
            "country_code": "US",
            "telephone_number": "832-659-0607",
            "fax_number": "713-730-3656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "YESENIA",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-04",
        "last_updated": "2018-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "22296",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "22296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2018; 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.