Individual provider Active NPI

William Javier Garcia Velasco, GENERAL DENTIST

  • General Practice Dentistry
  • Fort Myers, FL
National Provider Identifier
1659831279
Registry record updated Jul 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN26222 Issued in FL
Practice address
10061 University Plaza Dr Unit 102
Fort Myers, FL 33913-6018
Phone
(239) 310-0303
Fax
(239) 237-0852
NPI assigned
Mar 20, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN26222 FL Primary

Addresses

Primary practice location

10061 University Plaza Dr Unit 102
Fort Myers, FL 33913-6018

Mailing address

10061 University Plaza Dr Unit 102
Fort Myers, FL 33913-6018
Phone (239) 310-0303

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190715000534 CT Order and Referring Only - DentistPractitioner - Dentist 2264767292

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN26222FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
William J Garcia DDS PLLC CurrentSince Dec 31, 2023 Accepting new patients

Locations

10061 University Plaza Dr
Unit 102
Fort Myers, FL 33913
Phone (239) 310-0303

Networks

  • Freedom Health HMO Network

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1553040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752278400000",
    "number": "1659831279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10061 UNIVERSITY PLAZA DR UNIT 102",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339136018",
            "telephone_number": "239-310-0303",
            "fax_number": "239-237-0852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10061 UNIVERSITY PLAZA DR UNIT 102",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339136018",
            "telephone_number": "239-310-0303",
            "fax_number": "239-237-0852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA VELASCO",
        "first_name": "WILLIAM",
        "middle_name": "JAVIER",
        "name_prefix": "Dr.",
        "credential": "GENERAL DENTIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-20",
        "last_updated": "2025-07-12",
        "certification_date": "2025-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN26222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.