Active NPI
Yesenia Garcia, DMD
- Orthodontics and Dentofacial Orthopedics Dentistry
- Pearland, TX
National Provider Identifier
1326236332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 22296
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 22296 | TX | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Pearland, TX
- NPI 1699248161
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.