Individual provider Active NPI

Michelle Patricia Garcia, DDS

  • Dentist
  • Montebello, CA
National Provider Identifier
1508636812
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
109433 Issued in CA
Practice address
1451 N Montebello Blvd
Montebello, CA 90640-2584
Phone
(626) 606-2237
NPI assigned
Jan 8, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 109433 CA Primary

Addresses

Primary practice location

1451 N Montebello Blvd
Montebello, CA 90640-2584

Mailing address

1701 Neil Armstrong St Apt 204
Montebello, CA 90640-1929
Phone (760) 619-0146

Other practice location 1

1701 Neil Armstrong St Apt 204
Montebello, CA 90640-1929
Phone (760) 619-0146

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

NPI Registry JSON

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

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1508636812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 NEIL ARMSTRONG ST APT 204",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906401929",
            "telephone_number": "760-619-0146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 N MONTEBELLO BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906402584",
            "telephone_number": "626-606-2237"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 Neil Armstrong St Apt 204",
            "address_purpose": "LOCATION",
            "city": "Montebello",
            "state": "CA",
            "postal_code": "906401929",
            "country_code": "US",
            "telephone_number": "760-619-0146",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "MICHELLE",
        "middle_name": "PATRICIA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-08",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "109433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montebello, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; 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.