Melissa Vecentia Garcia-Rozas, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

18278 Issued in TX

Practice address

632 E Sandy Lake Rd
Coppell, TX 75019-3019

Phone

(972) 393-9779

Fax

(972) 393-9775

NPI assigned

May 4, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• North Texas Tongue Tie Center PLLC

  • Pediatric Dentistry
  • Coppell, TX
  • NPI 1649886086
  NPD

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249516800000",
    "number": "1629026430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "632 E SANDY LAKE RD",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750193019",
            "telephone_number": "972-393-9779",
            "fax_number": "972-393-9775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "632 E SANDY LAKE RD",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750193019",
            "telephone_number": "972-393-9779",
            "fax_number": "972-393-9775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA-ROZAS",
        "first_name": "MELISSA",
        "middle_name": "VECENTIA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2009-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "18278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111156904",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Kathryn Frith, N.P.
• Derek Dustin Frye, D.C.
• Travis Andrew Fuentes, FNP-BC
• Barbara Ann Gabut, PTA
• Ronald Alan Garber, PH.D.
• Janie Otto Garrett, LCSW
• Scharlene Kay Gaudet, DC, DACNB
• GD TX WJS PLLC
• Steven P Gellman, MD
• Greg Gemoules, O.D.

• Pediatric Dentistry in Coppell, TX
• Providers in Coppell, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2009; 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.