Active NPI
Lily T Garcia, DDS MS
- Prosthodontics
- Las Vegas, NV
National Provider Identifier
1619088853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- S5-54C
- Practice address
- 1001 Shadow LN # Ms 7410
Las Vegas, NV 89106-4124 - Phone
- (702) 774-2500
- NPI assigned
- Aug 31, 2006
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 14182 | TX | |
| Prosthodontics | 1223P0700X | 40149 | IA | |
| Prosthodontics | 1223P0700X | 6853 | CO | |
| Prosthodontics | 1223P0700X | S5-54C | NV | Primary |
Addresses
Primary practice location
1001 Shadow LN # Ms 7410
Las Vegas, NV 89106-4124
Mailing address
1001 Shadow LN # Ms 7410
Las Vegas, NV 89106-4124
Phone (702) 774-2500
Other practice location 1
414 Dental Science Bldg S
Iowa CIty, IA 52242-1001
Phone (319) 335-7275
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6853 | CO | MD | Prosthodontist |
| 40149 | IA | MD | Prosthodontist |
| S5-54C | NV | MD | Prosthodontist |
| 14182 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Texas Health Science Center at San Antonio | Past | Accepting new patients | |
| Board of Regents, Nevada System of Higher Education | Past | Accepting new patients | |
| The University of Texas Health Science Center at San Antonio | Past | Accepting new patients |
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.
-
- Student in an Organized Health Care Education/Training Program
- Las Vegas, NV
- NPI 1053414862
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1326829904
-
- Dental Clinic/Center
- San Antonio, TX
- NPI 1992736573
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612483200000",
"number": "1619088853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 SHADOW LN # MS 7410",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891064124",
"telephone_number": "702-774-2500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 SHADOW LN # MS 7410",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891064124",
"telephone_number": "702-774-2500"
}
],
"practiceLocations": [
{
"address_1": "414 Dental Science Bldg S",
"address_purpose": "LOCATION",
"city": "Iowa CIty",
"state": "IA",
"postal_code": "522421001",
"country_code": "US",
"telephone_number": "319-335-7275",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GARCIA",
"first_name": "LILY",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "DDS MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2021-02-05",
"certification_date": "2021-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "TX",
"license": "14182",
"primary": false
},
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "IA",
"license": "40149",
"primary": false
},
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "CO",
"license": "6853",
"primary": false
},
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "NV",
"license": "S5-54C",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.