Individual provider Active NPI

Tracy Nicole Garcia, M.FS, DDS

  • Dentist
  • Lincoln, NE
National Provider Identifier
1548413784
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6771 Issued in NE
Practice address
4030 Hohensee Dr
Lincoln, NE 68516-3927
Phone
(402) 421-7500
NPI assigned
Oct 31, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NE6771 NE
Dentist 122300000X 6771 NE Primary

Addresses

Primary practice location

4030 Hohensee Dr
Lincoln, NE 68516-3927

Mailing address

4030 Hohensee Dr
Lincoln, NE 68516-3927
Phone (402) 421-7500

Other practice location 1

935 1st St
Syracuse, NE 68446-9612
Phone (402) 269-3160

Other identifiers 1

IdentifierTypeStateIssuer
99-3054191MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160908000600 NE Order and Referring Only - Other (Non-Physician) 4688960289

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NE6771NEMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Tracy N Garcia, DDS, LLC Dentist CurrentSince Oct 21, 2025 Accepting new patients
Tranquil Teeth LLC PastSince Jun 2, 2024 Accepting new patients
Syracuse Dental Clinic LLC Past Accepting new patients

Locations

4030 Hohensee Dr
Lincoln, NE 68516
Phone (402) 421-7500

2623 Stockwell St
Lincoln, NE 68502
Phone (402) 421-7500

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1225411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1548413784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4030 HOHENSEE DR",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685163927",
            "telephone_number": "402-421-7500",
            "fax_number": "402-421-7715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4030 HOHENSEE DR",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685163927",
            "telephone_number": "402-421-7500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "935 1st St",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NE",
            "postal_code": "684469612",
            "country_code": "US",
            "telephone_number": "402-269-3160",
            "fax_number": "402-269-3174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "TRACY",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "M.FS, DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-31",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "NE6771",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NE",
            "license": "6771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "99-3054191",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.