Organization Active NPI

Orrin D. Mitchell, D.D.S., P.a.

  • Dental Clinic/Center
  • Jacksonville, FL
National Provider Identifier
1013288943
Registry record updated Mar 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DN 6224 Issued in FL
Legal business name
ORRIN D. MITCHELL, D.D.S., P.A.
Doing business as
Jacksonville Orthodontics
Practice address
10920 Baymeadows Rd
Suite 14
Jacksonville, FL 32256-4570
Phone
(904) 538-9300
Fax
(904) 583-9350
NPI assigned
Jan 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2013

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

Authorized official

Name
Dr. Orrin D Mitchell, D.D.S.
Title
Owner
Phone
(904) 538-9300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DN 6224 FL Primary

Addresses

Primary practice location

10920 Baymeadows Rd
Suite 14
Jacksonville, FL 32256-4570

Mailing address

1190 Edgewood Ave W
Suite a
Jacksonville, FL 32208-3419
Phone (904) 766-6000

Other names 1

  • Jacksonville Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

1190 Edgewood Ave W
Ste A
Jacksonville, FL 32208
Phone (904) 766-6000

10920 Baymeadows Rd
Ste 14
Jacksonville, FL 32256
Phone (904) 538-9300

NPI Registry JSON

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

{
    "created_epoch": "1327363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364342400000",
    "number": "1013288943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 EDGEWOOD AVE W",
            "address_2": "SUITE A",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322083419",
            "telephone_number": "904-766-6000",
            "fax_number": "904-766-6003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10920 BAYMEADOWS RD",
            "address_2": "SUITE 14",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322564570",
            "telephone_number": "904-538-9300",
            "fax_number": "904-583-9350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORRIN D. MITCHELL, D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-24",
        "last_updated": "2013-03-27",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "ORRIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-538-9300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN 6224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jacksonville Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2013; 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.