Individual provider Active NPI

Jessica Garcia, DMD

  • Endodontics
  • Gainesville, FL
National Provider Identifier
1710394945
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DN20625 Issued in FL
Practice address
1600 SW Archer Rd # D10-37
Gainesville, FL 32610-8051
Phone
(352) 273-5440
Fax
(352) 273-5446
NPI assigned
Jul 21, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN20625 FL
Endodontics 1223E0200X DN20625 FL Primary

Addresses

Primary practice location

1600 SW Archer Rd # D10-37
Gainesville, FL 32610-8051

Mailing address

1600 SW Archer Rd # D10-37
Gainesville, FL 32610-3003

Other practice location 1

1340 Blanding Blvd
Ste 108
Orange Park, FL 32065-8051
Phone (904) 639-6924

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20160920001161 FL Order and Referring Only - DentistPractitioner - Dentist 6204123268

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN20625FLMDEndodontist

Networks

  • Freedom Health HMO Network

NPI Registry JSON

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

{
    "created_epoch": "1405900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622505600000",
    "number": "1710394945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 SW ARCHER RD # D10-37",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326103003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SW ARCHER RD # D10-37",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326108051",
            "telephone_number": "352-273-5440",
            "fax_number": "352-273-5446"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1340 Blanding Blvd",
            "address_2": "Ste 108",
            "address_purpose": "LOCATION",
            "city": "Orange Park",
            "state": "FL",
            "postal_code": "320658051",
            "country_code": "US",
            "telephone_number": "904-639-6924",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "JESSICA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-21",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN20625",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "DN20625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.