Active NPI
Cassiano T Garcia, DDS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Towson, MD
National Provider Identifier
1639339088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 10251
- Practice address
- 120 Sister Pierre Drive
Suite 502
Towson, MD 21204 - Phone
- (410) 321-8144
- Fax
- (410) 321-8152
- NPI assigned
- Jun 10, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 10251 | MD | Primary |
Addresses
Primary practice location
120 Sister Pierre Drive
Suite 502
Towson, MD 21204
Mailing address
120 Sister Pierre Drive
Suite 502
Towson, MD 21204
Phone (410) 321-8144
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10251 | MD | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yvonne Kwong DMD PA | Orthodontics and Dentofacial Orthopedics | Past | Accepting new patients |
| Main Street Children'S Dentistry and Orthodontics of Towson LLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Dentist
- Towson, MD
- NPI 1699183780
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Towson, MD
- NPI 1215998562
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213056000000",
"number": "1639339088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 SISTER PIERRE DRIVE",
"address_2": "SUITE 502",
"city": "TOWSON",
"state": "MD",
"postal_code": "21204",
"telephone_number": "410-321-8144",
"fax_number": "410-321-8152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 SISTER PIERRE DRIVE",
"address_2": "SUITE 502",
"city": "TOWSON",
"state": "MD",
"postal_code": "21204",
"telephone_number": "410-321-8144",
"fax_number": "410-321-8152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "CASSIANO",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-10",
"last_updated": "2008-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "MD",
"license": "10251",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Towson, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.