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ADRIAN M GARCIA DMD
NPI 1235752189
Dentist in Boston, MA

Active since May 27, 2020PECOS Enrolled

NPPES record last updated: March 21, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 21, 2021, Jul 21, 2020, May 27, 2020 (3 updates tracked since 2020).

About Adrian M Garcia Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADRIAN M GARCIA DMD (NPI 1235752189) is an individual dentist in Boston, Massachusetts, licensed in Massachusetts (DN1858732) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235752189
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameADRIAN M GARCIACredential: DMD
Location Address42 BEACH STBoston, MA 02111-2056
Mailing Address42 Beach StBoston, MA 02111-2056
Phone(786) 252-5280
Sole ProprietorYes
Enumeration DateMay 27, 2020
Last NPPES UpdateMarch 21, 20213 updates tracked since enumeration
NPPES CertifiedMarch 21, 2021
✔ NPI 1235752189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses✔ Licensed in MA · DN1858732✔ Licensed in FL · DN25348
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
42 BEACH ST, Boston, MA 02111
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Adrian M Garcia Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02111 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JULES BENJAMIN GREENFIELD
Student in an Organized Health Care Education/Training Program
42 BEACH ST
BOSTON, MA 02111
Suffolk County (914) 434-3961
DR. JASON SAFER DMD
Dentist
42 BEACH ST, APT 7A
BOSTON, MA 02111
Suffolk County (781) 864-6789

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Adrian Garcia's NPI number?

The NPI number for Adrian Garcia is 1235752189. It was assigned to this individual provider in the NPPES registry on May 27, 2020.

Where is Adrian Garcia located?

Adrian Garcia practices at 42 Beach St, Boston, MA 02111. The listed phone number is (786) 252-5280.

What is Adrian Garcia's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Adrian Garcia enrolled in Medicare?

Yes. Adrian Garcia is registered in the Medicare PECOS enrollment system.

What insurance does Adrian Garcia accept?

Health plans from Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield, BEST Life and Blue Cross and Blue Shield of Alabama and 14 other insurers list Adrian Garcia as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Adrian Garcia was last updated on March 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.