Roman Michael Garcia, DMD, MPH

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

152 Issued in OK

Practice address

1600 Garth Brooks Blvd
Yukon, OK 73099-6469

Phone

(405) 578-5234

NPI assigned

Feb 4, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Ok Specialty Dental Services, PLLC

  • Pediatric Dentistry
  • Yukon, OK
  • NPI 1821813452
  NPD
• Oklahoma Anesthesia Specialists PLLC

  • Certified Registered Nurse Anesthetist
  • Oklahoma City, OK
  • NPI 1831874759
  NPD (past)
• PLW Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Oklahoma City, OK
  • NPI 1700040680
  NPD (past)

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

{
    "created_epoch": "1549238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1447715453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4208 RIVA RIDGE CT",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730250831",
            "telephone_number": "561-309-0269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 GARTH BROOKS BLVD",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730996469",
            "telephone_number": "405-578-5234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "ROMAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DMD, MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-04",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "7934",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OK",
            "license": "152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindy Funkhouser, CCC-SLP
• Fabian Gilbert Gallegos, MSN, APRN, AGACNP-BC
• Lacey Gann, APRN-CNP
• Taylor Michelle Gann, RBT
• Luis Pedro Garcia Sr., BHRS
• Emily Garfield, DPT
• Jared Garner, DO
• Jessica Lynn Garner, DPT
• Lucy Ellen Garth, RN
• Misty Gather

• Pediatric Dentistry in Yukon, OK
• Providers in Yukon, OK by specialty
• Pediatric Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; 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.