Individual provider Active NPI

Noriel Garcia

  • Dentist
  • South Euclid, OH
National Provider Identifier
1477045300
Registry record updated Jan 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30025574 Issued in OH
Practice address
13907 Cedar Rd
South Euclid, OH 44118-3203
Phone
(216) 485-3216
Fax
(913) 752-9116
NPI assigned
Jun 6, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30025574 OH Primary

Addresses

Primary practice location

13907 Cedar Rd
South Euclid, OH 44118-3203

Mailing address

1362 SW 145TH PL
Miami, FL 33184-3103
Phone (786) 624-1283

Other practice location 1

1362 SW 145th Pl
Miami, FL 33184-3103
Phone (786) 624-1283

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
30025574OHMDDentist

Networks

  • Freedom Health HMO Network

NPI Registry JSON

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

{
    "created_epoch": "1528243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580256000000",
    "number": "1477045300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1362 SW 145TH PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331843103",
            "telephone_number": "786-624-1283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13907 CEDAR RD",
            "city": "SOUTH EUCLID",
            "state": "OH",
            "postal_code": "441183203",
            "telephone_number": "216-485-3216",
            "fax_number": "913-752-9116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1362 SW 145th Pl",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331843103",
            "country_code": "US",
            "telephone_number": "786-624-1283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "NORIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-06",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30025574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Euclid, OH

Sources for this page

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