NPIMap

Organization Active NPI

Mary Ann Garcia DDS PC

  • General Practice Dentistry
  • Raynham, MA
National Provider Identifier
1447271374
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
17516 Issued in MA
Legal business name
MARY ANN GARCIA DDS PC
Practice address
166 Paramount Dr
Raynham, MA 02767
Phone
(508) 880-0802
Fax
(508) 977-9997
NPI assigned
Jul 23, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
John Garcia
Title
Practice Administrator
Phone
(508) 880-0802

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 17516 MA Primary

Addresses

Primary practice location

166 Paramount Dr
Raynham, MA 02767

Mailing address

166 Paramount Dr
Raynham, MA 02767
Phone (508) 880-0802

Other names 1

  • Subchapter S Care Other name

National Provider Directory

National Provider Directory

Locations

166 Paramount Dr
Raynham, MA 02767
Phone (508) 880-0802

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": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447271374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 PARAMOUNT DR",
            "city": "RAYNHAM",
            "state": "MA",
            "postal_code": "02767",
            "telephone_number": "508-880-0802",
            "fax_number": "508-977-9997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 PARAMOUNT DR",
            "city": "RAYNHAM",
            "state": "MA",
            "postal_code": "02767",
            "telephone_number": "508-880-0802",
            "fax_number": "508-977-9997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY ANN GARCIA DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "508-880-0802"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "17516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Subchapter S Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Raynham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.