Jeannie Banez Garcia, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

50437 Issued in CA

Practice address

617 N Azusa Ave
Covina, CA 91722-3504

Phone

(626) 480-7777

NPI assigned

Apr 24, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Maria Banez Garcia Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Dr. Jeannie B. Garcia Dental Inc

  • Dental Clinic/Center
  • Covina, CA
  • NPI 1982922522

  Dentist

  NPD Authorized official

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583280000000",
    "number": "1578782868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 N AZUSA AVE",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917223504",
            "telephone_number": "626-480-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 N AZUSA AVE",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917223504",
            "telephone_number": "626-480-7777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4070 Sterling Way",
            "address_purpose": "LOCATION",
            "city": "Baldwin Park",
            "state": "CA",
            "postal_code": "917064223",
            "country_code": "US",
            "telephone_number": "626-480-7777",
            "fax_number": "626-480-7775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "JEANNIE BANEZ",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "50437",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "50437",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "GARCIA",
            "middle_name": "BANEZ",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Celeste Elena Garcia
• Cynthia Garcia
• Cynthia Isabel Garcia
• Gloria Lucia Garcia, BA
• Grace Macapagal Garcia
• Jennifer Garcia
• Jennifer Marie Garcia, PPS
• Jessica Garcia
• Joselynn Garcia
• Kayla Madisson Garcia

• General Practice Dentistry in Covina, CA
• Providers in Covina, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; 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.