Jose Enrique Garcia, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

DN12152 Issued in FL

Practice address

1081 Town Center Dr Ste 100
Orange City, FL 32763-8360

Phone

(386) 456-0097

Fax

(386) 456-0021

NPI assigned

Oct 17, 2006

Last updated

May 4, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272931200000",
    "number": "1982784401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 CYPRESS KNEE LN",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327466292",
            "telephone_number": "386-456-0097",
            "fax_number": "385-456-0021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1081 TOWN CENTER DR STE 100",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638360",
            "telephone_number": "386-456-0097",
            "fax_number": "386-456-0021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "JOSE",
        "middle_name": "ENRIQUE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2010-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN12152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lexi Gale, SLPA
• Joseph Blane Gallagher
• Juliana Gamba, MA, RMHCI
• Prachi Gandhi, DO
• Angel Garcia, DC
• Myrna A Garcia, M.D.
• Elsa F Garnica, APRN
• Gastro MD Florida, LLC
• Gastroenterology and Liver Diseases of Central Florida PA
• Alexandra Jean Geary, ARNP

• Dentist in Orange City, FL
• Providers in Orange City, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2010; 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.