Active NPI
Yanelis Garcia
- Dentist
- Golf, FL
National Provider Identifier
1487540274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 30514
- Practice address
- 11800 S Military TRL Ste 102
Golf, FL 33436-5501 - Phone
- (561) 257-3485
- NPI assigned
- Jun 17, 2025
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 30514 | FL | Primary |
Addresses
Primary practice location
11800 S Military TRL Ste 102
Golf, FL 33436-5501
Mailing address
3890 SW 64TH Ave Apt 323
Davie, FL 33314-2585
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 |
|---|---|---|---|
| 30514 | FL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ideal Dental Boynton Beach PLLC | Dentist | Current | Accepting new patients |
Locations
11800 S Military Trl
Ste 102
Golf, FL 33436
Phone (401) 241-0310
Organizations & group practices 1
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.
-
- Dentist
- Golf, FL
- NPI 1497411359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750118400000",
"number": "1487540274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3890 SW 64TH AVE APT 323",
"city": "DAVIE",
"state": "FL",
"postal_code": "333142585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11800 S MILITARY TRL STE 102",
"city": "GOLF",
"state": "FL",
"postal_code": "334365501",
"telephone_number": "561-257-3485"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "YANELIS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-06-17",
"last_updated": "2025-06-17",
"certification_date": "2025-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "30514",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Golf, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.