Individual provider Active NPI

Jose Garcia

  • Pediatric Dentistry
  • Dayton, OH
National Provider Identifier
1467011023
Registry record updated May 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
30.027973 Issued in OH
Practice address
4257 W 3Rd St
Dayton, OH 45417-1406
Phone
(937) 268-1665
NPI assigned
Jun 7, 2019
Last updated
May 23, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DEN1002120 DC
Pediatric Dentistry 1223P0221X 16994 MD
Pediatric Dentistry 1223P0221X 62055 KS
Pediatric Dentistry 1223P0221X 30.027973 OH Primary

Addresses

Primary practice location

4257 W 3Rd St
Dayton, OH 45417-1406

Mailing address

4829 4TH St NW Apt 4
Washington, DC 20011-6100
Phone (301) 313-1613

Other practice location 1

6710 Oxon Hill Rd Ste 170
Oxon Hill, MD 20745-1123
Phone (301) 686-0710

Other practice location 2

13975 Connecticut Ave Ste 318
Silver Spring, MD 20906-2921
Phone (301) 871-8880

Other practice location 3

6000 Laurel Bowie Rd Ste 200
Bowie, MD 20715-4000
Phone (301) 805-5437

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

LicenseStateTypeSpecialty
DEN1002120DCMDGeneral Practice Dentistry
62055KSMDPediatric Dentist
16994MDMDPediatric Dentist
30.027973OHMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Kids Dentistry LLC Pediatric Dentistry CurrentSince Aug 1, 2024 Accepting new patients
Caroline Larosiliere DDS and Associates Pediatric Dentistry PastSince Mar 1, 2025 Accepting new patients
Tanek L. Jenkins, DDS Pediatric Dentistry PastSince Oct 1, 2020 Accepting new patients
Caroline Larosiliere DDS and Associates Pediatric Dentistry PastSince Mar 1, 2025 Accepting new patients

Locations

13975 Connecticut Ave
Ste 318
Silver Spring, MD 20906
Phone (301) 844-6999

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1559865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747958400000",
    "number": "1467011023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4829 4TH ST NW APT 4",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200116100",
            "telephone_number": "301-313-1613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4257 W 3RD ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454171406",
            "telephone_number": "937-268-1665"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6710 Oxon Hill Rd Ste 170",
            "address_purpose": "LOCATION",
            "city": "Oxon Hill",
            "state": "MD",
            "postal_code": "207451123",
            "country_code": "US",
            "telephone_number": "301-686-0710",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13975 Connecticut Ave Ste 318",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209062921",
            "country_code": "US",
            "telephone_number": "301-871-8880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6000 Laurel Bowie Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Bowie",
            "state": "MD",
            "postal_code": "207154000",
            "country_code": "US",
            "telephone_number": "301-805-5437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "JOSE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-07",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "DC",
            "license": "DEN1002120",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MD",
            "license": "16994",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "KS",
            "license": "62055",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OH",
            "license": "30.027973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2025; 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.