Individual provider Active NPI

Jose L. Garcia, D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Temecula, CA
National Provider Identifier
1568752384
Registry record updated Mar 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
45258 Issued in CA
Practice address
40285 Winchester Rd Ste 101
Temecula, CA 92591
Phone
(951) 296-5100
Fax
(951) 296-5103
NPI assigned
Apr 13, 2011
Last updated
Mar 12, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 45258 CA Primary

Addresses

Primary practice location

40285 Winchester Rd Ste 101
Temecula, CA 92591

Mailing address

40285 Winchester Rd Ste 101
Temecula, CA 92591-5547
Phone (951) 296-5100

Other practice location 1

26905 Newport Rd Ste 101
Menifee, CA 92584-9139
Phone (951) 296-5100

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

LicenseStateTypeSpecialty
45258CAMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Jose L. Garcia DDS, Ms, Apdc Orthodontics and Dentofacial Orthopedics Current Accepting new patients
Smith & Garcia Orthodontics a Partnership of Corporations Orthodontics and Dentofacial Orthopedics Past Accepting new patients

Locations

26905 Newport Rd
Ste 101
Menifee, CA 92584
Phone (951) 296-5100

40285 Winchester Rd
Ste 101
Temecula, CA 92591
Phone (951) 296-5100

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1302652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552348800000",
    "number": "1568752384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40285 WINCHESTER RD STE 101",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925915547",
            "telephone_number": "951-296-5100",
            "fax_number": "519-296-5103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40285 WINCHESTER RD STE 101",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "92591",
            "telephone_number": "951-296-5100",
            "fax_number": "951-296-5103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26905 Newport Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Menifee",
            "state": "CA",
            "postal_code": "925849139",
            "country_code": "US",
            "telephone_number": "951-296-5100",
            "fax_number": "951-296-5103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "JOSE",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-13",
        "last_updated": "2019-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "45258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; 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.