Active NPI
Juan Carlos Garcia, DDS
- Dentist
- Houston, TX
National Provider Identifier
1487766242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 15413
- Practice address
- 11207 Fuqua
Houston, TX 77089 - Phone
- (713) 941-6191
- Fax
- (713) 941-6811
- NPI assigned
- Aug 31, 2006
- 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 | 15413 | TX | Primary |
Addresses
Primary practice location
11207 Fuqua
Houston, TX 77089
Mailing address
11207 Fuqua
Houston, TX 77089
Phone (713) 941-6191
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0291208101 | Medicaid | TX |
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 |
|---|---|---|---|
| 15413 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487766242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11207 FUQUA",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77089",
"telephone_number": "713-941-6191",
"fax_number": "713-941-6811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11207 FUQUA",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77089",
"telephone_number": "713-941-6191",
"fax_number": "713-941-6811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "JUAN",
"middle_name": "CARLOS",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "15413",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0291208101",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.