Individual provider Active NPI

Todd Garcia, D.D.S.

  • General Practice Dentistry
  • Chewelah, WA
National Provider Identifier
1992062343
Registry record updated Dec 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE 60351891 Issued in WA
Practice address
509 E Main Ave
Chewelah, WA 99109-8964
Phone
(509) 935-6001
NPI assigned
Apr 23, 2012
Last updated
Dec 19, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DE 60351891 WA Primary

Addresses

Primary practice location

509 E Main Ave
Chewelah, WA 99109-8964

Mailing address

509 E Main Ave
PO Box 808
Chewelah, WA 99109-8964
Phone (509) 935-6001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20150519000278 WA Order and Referring Only - DentistPractitioner - Dentist 6002136876

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DE 60351891WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
New Health Programs Association Past Accepting new patients
New Health Programs Association PastSince Apr 17, 2022 Accepting new patients
New Health Program Association Past Accepting new patients
New Health Program Association PastSince Apr 17, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: todd.garcia.1@18424.direct.athenahealth.com

Organizations & group practices 4

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": "1335139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387411200000",
    "number": "1992062343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 E MAIN AVE",
            "address_2": "PO BOX 808",
            "city": "CHEWELAH",
            "state": "WA",
            "postal_code": "991098964",
            "telephone_number": "509-935-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 E MAIN AVE",
            "city": "CHEWELAH",
            "state": "WA",
            "postal_code": "991098964",
            "telephone_number": "509-935-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-23",
        "last_updated": "2013-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE 60351891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chewelah, WA

Sources for this page

Verify at the official NPI Registry.