Individual provider Active NPI

Gene Howard Garrett Jr., DDS

  • General Practice Dentistry
  • Pasadena, MD
National Provider Identifier
1992754873
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
09033 Issued in MD
Practice address
8092 Edwin Raynor Blvd
Suite D
Pasadena, MD 21122-6833
Phone
(410) 255-7878
Fax
(410) 255-8825
NPI assigned
May 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 09033 MD Primary

Addresses

Primary practice location

8092 Edwin Raynor Blvd
Suite D
Pasadena, MD 21122-6833

Mailing address

8092 Edwin Raynor Blvd
Suite D
Pasadena, MD 21122-6833
Phone (410) 255-7878

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20151229001888 MD Order and Referring Only - DentistPractitioner - Dentist 3375844855

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
09033MDMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1992754873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8092 EDWIN RAYNOR BLVD",
            "address_2": "SUITE D",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211226833",
            "telephone_number": "410-255-7878",
            "fax_number": "410-255-8825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8092 EDWIN RAYNOR BLVD",
            "address_2": "SUITE D",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211226833",
            "telephone_number": "410-255-7878",
            "fax_number": "410-255-8825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRETT",
        "first_name": "GENE",
        "middle_name": "HOWARD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "09033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, MD

Sources for this page

Verify at the official NPI Registry.