Individual provider Active NPI

George Louis Garza, DDS

  • General Practice Dentistry
  • San Antonio, TX
National Provider Identifier
1932245388
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
011748 Issued in TX
Practice address
343 W Houston St
Suite 901
San Antonio, TX 78205-2107
Phone
(210) 226-2899
Fax
(210) 226-4847
NPI assigned
Jan 30, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 011748 TX Primary

Addresses

Primary practice location

343 W Houston St
Suite 901
San Antonio, TX 78205-2107

Mailing address

343 W Houston St
Suite 901
San Antonio, TX 78205-2107
Phone (210) 226-2899

Other identifiers 1

IdentifierTypeStateIssuer
090916001MedicaidTX

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160315000983 TX Order and Referring Only - DentistPractitioner - Dentist 4284930470

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
011748TXMDGeneral Practice Dentistry
11748TXMDDoula

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1932245388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 W HOUSTON ST",
            "address_2": "SUITE 901",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782052107",
            "telephone_number": "210-226-2899",
            "fax_number": "210-226-4847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 W HOUSTON ST",
            "address_2": "SUITE 901",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782052107",
            "telephone_number": "210-226-2899",
            "fax_number": "210-226-4847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARZA",
        "first_name": "GEORGE",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "011748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "090916001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.