Active NPI
Bianca Garcia, RDH
- Dental Hygienist
- Fort Drum, NY
National Provider Identifier
1821500802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 20762
- Practice address
- 10590 Enduring Freedom Dr
Fort Drum, NY 13602-5005 - Phone
- (315) 772-6234
- NPI assigned
- Oct 30, 2017
- Sex
- Female
- 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 | 20762 | TX | Primary |
Addresses
Primary practice location
10590 Enduring Freedom Dr
Fort Drum, NY 13602-5005
Mailing address
10590 Enduring Freedom Dr
Fort Drum, NY 13602-5005
Phone (315) 772-6234
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 |
|---|---|---|---|
| 20762 | TX | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1509321600000",
"number": "1821500802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10590 ENDURING FREEDOM DR",
"city": "FORT DRUM",
"state": "NY",
"postal_code": "136025005",
"telephone_number": "315-772-6234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10590 ENDURING FREEDOM DR",
"city": "FORT DRUM",
"state": "NY",
"postal_code": "136025005",
"telephone_number": "315-772-6234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "BIANCA",
"name_prefix": "Ms.",
"credential": "RDH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-30",
"last_updated": "2017-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dental Hygienist",
"state": "TX",
"license": "20762",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Drum, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.