Active NPI
Tracy Nicole Garcia, M.FS, DDS
- Dentist
- Lincoln, NE
National Provider Identifier
1548413784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6771
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 99-3054191 | Medicaid | NE |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160908000600 | NE | Order and Referring Only - Other (Non-Physician) | 4688960289 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NE6771 | NE | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tracy N Garcia, DDS, LLC | Dentist | Current | Accepting new patients |
| Tranquil Teeth LLC | Past | 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.
-
- Dentist
- Lincoln, NE
- NPI 1245505049
-
- Dental Clinic/Center
- Syracuse, NE
- NPI 1316787138
-
- Dental Clinic/Center
- Syracuse, NE
- NPI 1275989634
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.