Individual provider Active NPI

Javier Garcia, DMD

  • General Practice Dentistry
  • Bayamon, PR
National Provider Identifier
1679690051
Registry record updated Nov 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1624 Issued in PR
Practice address
Alturas de Flamboyan
N60 Tnte Martinez Ave
Bayamon, PR 00959-8103
Phone
(787) 798-4800
Fax
(787) 780-4222
NPI assigned
Mar 23, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2012

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 1624 PR Primary

Addresses

Primary practice location

Alturas de Flamboyan
N60 Tnte Martinez Ave
Bayamon, PR 00959-8103

Mailing address

E6 Calle 1
Urb Riverside Park
Bayamon, PR 00961-8594
Phone (787) 798-4800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
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
I20151012001296 PR Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 5698084713

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353542400000",
    "number": "1679690051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "E6 CALLE 1",
            "address_2": "URB RIVERSIDE PARK",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009618594",
            "telephone_number": "787-798-4800",
            "fax_number": "787-780-4222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ALTURAS DE FLAMBOYAN",
            "address_2": "N60 TNTE MARTINEZ AVE",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009598103",
            "telephone_number": "787-798-4800",
            "fax_number": "787-780-4222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "JAVIER",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-23",
        "last_updated": "2012-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "1624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.