Active NPI
Roel Garza, D.D.S.
- General Practice Dentistry
- Alice, TX
National Provider Identifier
1447453626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 17020
- Practice address
- 750 Coyote TRL
Alice, TX 78332-4004 - Phone
- (361) 668-3384
- Fax
- (361) 668-6191
- NPI assigned
- Jun 6, 2007
- Last updated
- Jun 10, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 17020 | TX | Primary |
Addresses
Primary practice location
750 Coyote TRL
Alice, TX 78332-4004
Mailing address
750 Coyote Trail
Alice, TX 78332
Phone (361) 668-3384
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 87D471 | Other | TX | BCBS |
| 11241902 | Medicaid | TX | |
| UC886411 | Other | TX | UNITED CONCORDIA |
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 |
|---|---|---|---|
| 17020 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garza, Garcia & Garcia Dentistry Partnership | General Practice | Past | Accepting new patients |
| Dr. Roel Garza and Associates Family Dentistry | General Practice | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Alice, TX
- NPI 1326172834
-
dba Alice Dental Associates
- General Practice Dentistry
- Alice, TX
- NPI 1285907725
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213056000000",
"number": "1447453626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 COYOTE TRAIL",
"city": "ALICE",
"state": "TX",
"postal_code": "78332",
"telephone_number": "361-668-3384",
"fax_number": "361-668-6191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 COYOTE TRL",
"city": "ALICE",
"state": "TX",
"postal_code": "783324004",
"telephone_number": "361-668-3384",
"fax_number": "361-668-6191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARZA",
"first_name": "ROEL",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-06",
"last_updated": "2008-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "17020",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "87D471",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "11241902",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "UC886411",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alice, TX
- Debra Lee Garza
- Garza, Garcia & Garcia Dentistry Partnership (Alice Dental Associates)
- Hector E Garza, LCDC
- James Garza, FNP,RN
- Larry E. Garza, R.PH.
- Marissa Gilpatrick-Ochoa, LPC
- Denise Goetzel, MS, CCC/SLP
- Gold Horses, LLC (Del Cielo Home Care Services)
- Gold Horses, LLC (Del Cielo Adult Day Care)
- Golden Horizons Hospice Corporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.