Individual provider Active NPI

Mariam Mesa Garcia, D.M.D.

  • Dentist
  • Cutler Bay, FL
National Provider Identifier
1932582673
Registry record updated Jun 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN21387 Issued in FL
Practice address
9535 SW 187TH St
Cutler Bay, FL 33157-7861
Phone
(786) 296-1517
NPI assigned
Jun 30, 2015
Last updated
Jun 30, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN21387 FL Primary

Addresses

Primary practice location

9535 SW 187TH St
Cutler Bay, FL 33157-7861

Mailing address

9535 SW 187TH St
Cutler Bay, FL 33157-7861
Phone (786) 296-1517

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20160525002573 FL Order and Referring Only - DentistPractitioner - Dentist 2567751951

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN21387FLMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435622400000",
    "number": "1932582673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9535 SW 187TH ST",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331577861",
            "telephone_number": "786-296-1517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9535 SW 187TH ST",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331577861",
            "telephone_number": "786-296-1517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESA GARCIA",
        "first_name": "MARIAM",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-30",
        "last_updated": "2015-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN21387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cutler Bay, FL

Sources for this page

Verify at the official NPI Registry.