Active NPI
Noriel Garcia
- Dentist
- South Euclid, OH
National Provider Identifier
1477045300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 30025574
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 30025574 | OH | MD | Dentist |
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.