Active NPI
Robert J Lombardo
- Dentist
- Ponte Vedra, FL
National Provider Identifier
1023548013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN22725
- Practice address
- 5000 Sawgrass Village Cir Ste 23
Ponte Vedra, FL 32082-5041 - Phone
- (904) 280-0070
- Fax
- (904) 280-0079
- NPI assigned
- Jun 13, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN22725 | FL | Primary |
Addresses
Primary practice location
5000 Sawgrass Village Cir Ste 23
Ponte Vedra, FL 32082-5041
Mailing address
5000 Sawgrass Village Cir Ste 23
Ponte Vedra, FL 32082-5041
Phone (904) 280-0070
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN22725 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1023548013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5000 SAWGRASS VILLAGE CIR STE 23",
"city": "PONTE VEDRA",
"state": "FL",
"postal_code": "320825041",
"telephone_number": "904-280-0070",
"fax_number": "904-280-0079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5000 SAWGRASS VILLAGE CIR STE 23",
"city": "PONTE VEDRA",
"state": "FL",
"postal_code": "320825041",
"telephone_number": "904-280-0070",
"fax_number": "904-280-0079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOMBARDO",
"first_name": "ROBERT",
"middle_name": "J",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-13",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN22725",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ponte Vedra, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.