Active NPI
Jennifer Jo Garza, DDS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Lancaster, SC
National Provider Identifier
1851557680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- DGD.10872
- Practice address
- 1212 Highway 9 Byp W
Lancaster, SC 29720-1780 - Phone
- (803) 283-1111
- NPI assigned
- Jul 31, 2008
- Last updated
- Jul 1, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 8525 | CO | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DN014922 | GA | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DGD.10872 | SC | Primary |
Addresses
Primary practice location
1212 Highway 9 Byp W
Lancaster, SC 29720-1780
Mailing address
237 Lee Road 2204
Smiths Station, AL 36877-3176
Phone (720) 318-7052
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 |
|---|---|---|---|
| 8525 | CO | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| DN014922 | GA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| DGD.10872 | SC | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719792000000",
"number": "1851557680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "237 LEE ROAD 2204",
"city": "SMITHS STATION",
"state": "AL",
"postal_code": "368773176",
"telephone_number": "720-318-7052",
"fax_number": "770-961-4443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1212 HIGHWAY 9 BYP W",
"city": "LANCASTER",
"state": "SC",
"postal_code": "297201780",
"telephone_number": "803-283-1111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARZA",
"first_name": "JENNIFER",
"middle_name": "JO",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-31",
"last_updated": "2024-07-01",
"certification_date": "2024-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CO",
"license": "8525",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "GA",
"license": "DN014922",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "SC",
"license": "DGD.10872",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.