Ap Dental Baymeadows

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

AP DENTAL BAYMEADOWS

Practice address

613 Mahi Dr
Ponte Vedra, FL 32081-1530

Phone

(978) 223-3742

NPI assigned

Dec 2, 2024

Last updated

Dec 2, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Anna Pukhovitskaya, DMDNPI 1891136859

Title

Dentist

Phone

(978) 223-3742

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anna Pukhovitskaya, DMD

  • Dentist
  • Boston, MA
  • NPI 1891136859
  Authorized official Same address or phone

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

{
    "created_epoch": "1733097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733097600000",
    "number": "1023834561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 MAHI DR",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320811530",
            "telephone_number": "978-223-3742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 MAHI DR",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320811530",
            "telephone_number": "978-223-3742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AP DENTAL BAYMEADOWS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-02",
        "last_updated": "2024-12-02",
        "certification_date": "2024-11-04",
        "status": "A",
        "authorized_official_last_name": "PUKHOVITSKAYA",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "978-223-3742",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elicia Larshney Anderson
• Lauren Anderson, PMHNP
• Lee Ann Annotti, PH.D.
• Anodyne Pain of PV (Anodyne Pain and Wellness of Ponte Vedra)
• Anxiety Treatment of Florida LLC
• Applied Verbal and Behavioral Analysis
• Marc Arenas, MD
• Arnold D Fong MD PA
• Marena Artz, PSYD
• Gloria E Ashton

• General Practice Dentistry in Ponte Vedra, FL
• Providers in Ponte Vedra, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; 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.