Individual provider Active NPI

Ronald Garza

  • Pediatric Dentistry
  • Dallas, TX
National Provider Identifier
1932267952
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
14634 Issued in TX
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, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
14634TXMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Cog Dental PLLC Pediatric Dentistry PastSince Jun 30, 2024 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.

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.

Verify at the official NPI Registry.