Active NPI
Ronald Garza
- Pediatric Dentistry
- Dallas, TX
National Provider Identifier
1932267952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 14634
- Practice address
- 9757 White Rock TRL
Dallas, TX 75238-1805 - Phone
- (214) 349-9400
- Fax
- (469) 762-4052
- NPI assigned
- Dec 4, 2006
- Last updated
- Mar 17, 2018
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 14634 | TX | Primary |
Addresses
Primary practice location
9757 White Rock TRL
Dallas, TX 75238-1805
Mailing address
9757 White Rock TRL
Dallas, TX 75238-1805
Phone (214) 349-9400
Other practice location 1
215 S Fm 548 Ste B
Forney, TX 75126-4130
Phone (972) 564-2222
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 |
|---|---|---|---|
| 14634 | TX | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cog Dental PLLC | Pediatric Dentistry | Past | Accepting new patients |
| Vincent Young, M.D., P.a. | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Pediatric Dentistry
- Dallas, TX
- NPI 1831380245
-
- Specialist
- Dallas, TX
- NPI 1235166125
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1932267952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9757 WHITE ROCK TRL",
"city": "DALLAS",
"state": "TX",
"postal_code": "752381805",
"telephone_number": "214-349-9400",
"fax_number": "469-762-4052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9757 WHITE ROCK TRL",
"city": "DALLAS",
"state": "TX",
"postal_code": "752381805",
"telephone_number": "214-349-9400",
"fax_number": "469-762-4052"
}
],
"practiceLocations": [
{
"address_1": "215 S Fm 548 Ste B",
"address_purpose": "LOCATION",
"city": "Forney",
"state": "TX",
"postal_code": "751264130",
"country_code": "US",
"telephone_number": "972-564-2222",
"fax_number": "972-564-2322",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GARZA",
"first_name": "RONALD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-04",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "TX",
"license": "14634",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.