Active NPI
Nicholas Raymond Garcia, D.D.S.
- General Practice Dentistry
- Hamlin, NY
National Provider Identifier
1811494909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 060518
- Practice address
- 1859 Lake Rd
Hamlin, NY 14464-9527 - Phone
- (585) 964-2000
- NPI assigned
- Apr 6, 2018
- Last updated
- Oct 19, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 060518 | NY | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
1859 Lake Rd
Hamlin, NY 14464-9527
Mailing address
172 Lafayette Pkwy
Rochester, NY 14625-2059
Phone (585) 315-3261
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 |
|---|---|---|---|
| 060518 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garcia Dental PLLC | Current | Accepting new patients |
Locations
1859 Lake Rd
Hamlin, NY 14464
Phone (585) 964-2000
Organizations & group practices 1
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": "1522972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634601600000",
"number": "1811494909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "172 LAFAYETTE PKWY",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146252059",
"telephone_number": "585-315-3261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1859 LAKE RD",
"city": "HAMLIN",
"state": "NY",
"postal_code": "144649527",
"telephone_number": "585-964-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "NICHOLAS",
"middle_name": "RAYMOND",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-04-06",
"last_updated": "2021-10-19",
"certification_date": "2021-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "060518",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hamlin, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.