Individual provider Active NPI

Maritza Garcia, D.D.S

  • Dentist
  • Orlando, FL
National Provider Identifier
1801238340
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN20291 Issued in FL
Practice address
4077 S Goldenrod Rd
Orlando, FL 32822-5622
Phone
(407) 203-1630
NPI assigned
Jul 25, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN20291 FL Primary

Addresses

Primary practice location

4077 S Goldenrod Rd
Orlando, FL 32822-5622

Mailing address

4077 S Goldenrod Rd
Orlando, FL 32822-5622
Phone (407) 203-1630

Other practice location 1

3228 W State Road 426 Ste 1000
Oviedo, FL 32765-8674
Phone (407) 678-3330

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
I20220610002546 FL Practitioner - Dentist 4486974995 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN20291FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Tropical Dental LLC CurrentSince Jan 11, 2022 Accepting new patients
Affordable Dentist PastSince Jul 24, 2022 Accepting new patients

Locations

4077 S Goldenrod Rd
Orlando, FL 32822
Phone (407) 203-1630

3228 W State Road 426
Ste 1000
Oviedo, FL 32765
Phone (407) 678-3330

Networks

  • Freedom Health HMO Network

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1374710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1801238340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4077 S GOLDENROD RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328225622",
            "telephone_number": "407-203-1630",
            "fax_number": "407-641-9744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4077 S GOLDENROD RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328225622",
            "telephone_number": "407-203-1630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3228 W State Road 426 Ste 1000",
            "address_purpose": "LOCATION",
            "city": "Oviedo",
            "state": "FL",
            "postal_code": "327658674",
            "country_code": "US",
            "telephone_number": "407-678-3330",
            "fax_number": "407-641-9744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "MARITZA",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-25",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN20291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.