DR. MELANIE GARCIA D.D.S
NPI 1255746830
Dentist in Kent, WA

Q: What is Melanie Garcia's NPI number?

The NPI number for Melanie Garcia is 1255746830. It was assigned to this individual provider in the NPPES registry on June 23, 2014.

Q: What is Melanie Garcia's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Melanie Garcia was last updated on December 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.

Active since June 23, 2014PECOS Enrolled

403 E MEEKER ST STE 100, KENT, WA 98030(253) 796-4071 Get Directions Write a Review

NPPES record last updated: December 11, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 11, 2024, Dec 23, 2015 (2 updates tracked since 2015).

On this page

About Dr. Melanie Garcia D.d.s NPPES

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

DR. MELANIE GARCIA D.D.S (NPI 1255746830) is an individual dentist in Kent, Washington, licensed in Washington (DE60472831) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Des Moines.

NPPES Registry Identity

NPI1255746830

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameDR. MELANIE GARCIACredential: D.D.S

Location Address403 E MEEKER ST STE 100Kent, WA 98030-5904

Mailing Address955 Powell Ave SwRenton, WA 98057 · (425) 277-1311

Phone(253) 796-4071

Sole ProprietorNo

Enumeration DateJune 23, 2014

Last NPPES UpdateDecember 11, 20242 updates tracked since enumeration

NPPES CertifiedDecember 11, 2024

✔ NPI 1255746830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in WA · DE60472831

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.

403 E MEEKER ST STE 100, Kent, WA 98030

Open in Google Maps ↗

Secondary Practice Location 1

Location 126401 Pacific Hwy SDes Moines, WA 98198-9247 · Phone (206) 870-3601

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Melanie Garcia D.d.s 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.

Medicare Billing Reassignment

Medicare enrollment records show Melanie Garcia reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Healthpoint

Same address

Federally Qualified Health Center (FQHC)

403 E MEEKER ST, STE 200
Kent, WA 98030

Reassigned Medicare billing, Washington enrollment
403 clinicians in this Medicare group

NPI 1831199454 (253) 852-2866

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98030 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

$97.43 typical visit price

range $63.67 – $189.37

Typical copayment $24.35 (range $15.91 – $47.34)

Most-billed visit code 99203

Established Patient

$78.74 typical visit price

range $21.12 – $155.00

Typical copayment $19.68 (range $5.28 – $38.75)

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 3

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

JULIE I-CHING TSENG DDS

Dentist

403 E MEEKER ST STE 100
KENT, WA 98030

King County (253) 796-4071

TIMOTHY C LIU DDS

Dentist

403 E MEEKER ST STE 100
KENT, WA 98030

King County (253) 796-4071

LINDA PAIK D.D.S.

Dentist

403 E MEEKER ST STE 100
KENT, WA 98030

King County (253) 796-4071

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 Melanie Garcia's NPI number?

The NPI number for Melanie Garcia is 1255746830. It was assigned to this individual provider in the NPPES registry on June 23, 2014.

Where is Melanie Garcia located?

Melanie Garcia practices at 403 E Meeker St Ste 100, Kent, WA 98030. The listed phone number is (253) 796-4071.

What is Melanie Garcia's specialty?

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

Is Melanie Garcia enrolled in Medicare?

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

Which organization bills Medicare for Melanie Garcia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melanie Garcia reassigns Medicare benefits to Healthpoint (Kent, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Melanie Garcia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Melanie Garcia accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Melanie 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 Melanie Garcia was last updated on December 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.