Organization Active NPI

Monica Garnache DMD Inc

Doing business as North Marin Dental

  • General Practice Dentistry
  • San Rafael, CA
National Provider Identifier
1417288663
Registry record updated Jan 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
55432 Issued in CA
Legal business name
MONICA GARNACHE DMD INC
Doing business as
North Marin Dental
Practice address
630 Freitas Pkwy
San Rafael, CA 94903-3106
Phone
(415) 479-1273
Fax
(415) 479-9840
NPI assigned
Jan 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2010

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

Authorized official

Name
Monica A Garnache, DMDNPI 1205973393
Title
President
Phone
(415) 479-1273

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 55432 CA Primary

Addresses

Primary practice location

630 Freitas Pkwy
San Rafael, CA 94903-3106

Mailing address

630 Freitas Pkwy
San Rafael, CA 94903-3106
Phone (415) 479-1273

Other names 1

  • North Marin Dental Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1264550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264550400000",
    "number": "1417288663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 FREITAS PKWY",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949033106",
            "telephone_number": "415-479-1273",
            "fax_number": "415-479-9840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 FREITAS PKWY",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949033106",
            "telephone_number": "415-479-1273",
            "fax_number": "415-479-9840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONICA GARNACHE DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-27",
        "last_updated": "2010-01-27",
        "status": "A",
        "authorized_official_last_name": "GARNACHE",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-479-1273",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "55432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Marin Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Rafael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.