Individual provider Active NPI

Noemi Gisell Garcia, D.D.S.

  • General Practice Dentistry
  • Howards Grove, WI
National Provider Identifier
1336278795
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6004 Issued in WI
Practice address
617 Ethan Allen Dr
Howards Grove, WI 53083-1267
Phone
(920) 565-3369
NPI assigned
Mar 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6004 WI Primary

Addresses

Primary practice location

617 Ethan Allen Dr
Howards Grove, WI 53083-1267

Mailing address

617 Ethan Allen Dr
Howards Grove, WI 53083-1267
Phone (920) 565-3369

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151228000474 WI Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 4789985367

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Howards Grove Family Dental, LLC General Practice CurrentSince Jun 23, 2025 Accepting new patients
Steven R. Lindstrom D.D.S., S.C. PastSince Jun 23, 2025 Accepting new patients

Locations

617 Ethan Allen Dr
Howards Grove, WI 53083
Phone (920) 565-3369

Organizations & group practices 2

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": "1172880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1336278795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 ETHAN ALLEN DR",
            "city": "HOWARDS GROVE",
            "state": "WI",
            "postal_code": "530831267",
            "telephone_number": "920-565-3369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 ETHAN ALLEN DR",
            "city": "HOWARDS GROVE",
            "state": "WI",
            "postal_code": "530831267",
            "telephone_number": "920-565-3369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "NOEMI",
        "middle_name": "GISELL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-03",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "6004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Howards Grove, WI

Sources for this page

Verify at the official NPI Registry.