Individual provider Active NPI

Jan Garcia, DMD

  • Dentist
  • Vero Beach, FL
National Provider Identifier
1982016051
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN20598 Issued in FL
Practice address
3725 12TH CT Ste a
Vero Beach, FL 32960-6519
Phone
(772) 410-5818
NPI assigned
May 23, 2014
Last updated
Oct 14, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN20598 FL Primary

Addresses

Primary practice location

3725 12TH CT Ste a
Vero Beach, FL 32960-6519

Mailing address

3725 12TH CT Ste a
Vero Beach, FL 32960-6519
Phone (772) 410-5818

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
I20150714003183 FL Order and Referring Only - DentistPractitioner - Dentist 0042523490

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Seaside Dental Care PLLC CurrentSince Jan 5, 2020 Accepting new patients

Locations

3725 12th Ct
Ste A
Vero Beach, FL 32960
Phone (772) 410-5818

3725 12th Ct
Ste B
Vero Beach, FL 32960
Phone (772) 562-6880

Organizations & group practices 1

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": "1400803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1982016051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3725 12TH CT STE A",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606519",
            "telephone_number": "772-410-5818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3725 12TH CT STE A",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606519",
            "telephone_number": "772-410-5818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "JAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-23",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN20598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.