Tracie Nicole Garcia, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

23594 Issued in TX

Practice address

430 W Loop 1604 N
Ste 109
San Antonio, TX 78251-3343

Phone

(210) 647-7447

NPI assigned

Oct 4, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191456000000",
    "number": "1801084801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 W LOOP 1604 N",
            "address_2": "STE 109",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782513343",
            "telephone_number": "210-647-7447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 W LOOP 1604 N",
            "address_2": "STE 109",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782513343",
            "telephone_number": "210-647-7447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "TRACIE",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-04",
        "last_updated": "2007-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "23594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sueyshen Scarlet Garcia, DNP, APRN, FNP-C
• Tabitha Garcia, M.A. CCC/SLP
• Tamara Garcia
• Tarah Garcia, RBT
• Theresa Garcia
• Unica V Garcia
• Veronica C Garcia, LCDC-1
• Vicente M Garcia, RPH
• Victor Velasquez Garcia, MSW
• Victoria Rodriguez Garcia, BCBA

• General Practice Dentistry in San Antonio, TX
• Providers in San Antonio, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.