Active NPI
Pedro A Garcia
- Dental Hygienist
- Yuma, AZ
National Provider Identifier
1730853490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- H009433
- Practice address
- 675 S Avenue B BLDG B
Yuma, AZ 85364-2749 - Phone
- (928) 329-5430
- Fax
- (928) 783-0688
- NPI assigned
- Aug 5, 2021
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | H009433 | AZ | Primary |
Addresses
Primary practice location
675 S Avenue B BLDG B
Yuma, AZ 85364-2749
Mailing address
675 S Avenue B BLDG B
Yuma, AZ 85364-2749
Phone (928) 819-8999
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | AZ |
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 |
|---|---|---|---|
| H009433 | AZ | MD | Dental Hygienist |
Interoperability endpoints
- pedro.garcia.p1@direct.sunset.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628121600000",
"number": "1730853490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "675 S AVENUE B BLDG B",
"city": "YUMA",
"state": "AZ",
"postal_code": "853642749",
"telephone_number": "928-819-8999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "675 S AVENUE B BLDG B",
"city": "YUMA",
"state": "AZ",
"postal_code": "853642749",
"telephone_number": "928-329-5430",
"fax_number": "928-783-0688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "PEDRO",
"middle_name": "A",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-08-05",
"last_updated": "2021-08-05",
"certification_date": "2021-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "AZ",
"license": "H009433",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yuma, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.