Organization Active NPI

Grand Oaks Dental Care

  • General Practice Dentistry
  • Ocala, FL
National Provider Identifier
1033562871
Registry record updated Jul 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN16267 Issued in FL
Legal business name
GRAND OAKS DENTAL CARE
Practice address
2575 SW 42ND St
Suite 104-105
Ocala, FL 34471-1355
Phone
(352) 877-4926
Fax
(352) 224-6154
NPI assigned
Jul 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2016

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

Authorized official

Name
Dr. Simon Amir, D.M.D.
Title
Dentist/Owner
Phone
(352) 877-4926

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DN16267 FL Primary

Addresses

Primary practice location

2575 SW 42ND St
Suite 104-105
Ocala, FL 34471-1355

Mailing address

2575 SW 42ND St
Suite 104-105
Ocala, FL 34471-1355
Phone (352) 877-4926

National Provider Directory

National Provider Directory

Locations

2575 SW 42nd St
Ste 104105
Ocala, FL 34471
Phone (352) 877-4926

NPI Registry JSON

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

{
    "created_epoch": "1468713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468713600000",
    "number": "1033562871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2575 SW 42ND ST",
            "address_2": "SUITE 104-105",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344711355",
            "telephone_number": "352-877-4926",
            "fax_number": "352-224-6154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2575 SW 42ND ST",
            "address_2": "SUITE 104-105",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344711355",
            "telephone_number": "352-877-4926",
            "fax_number": "352-224-6154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND OAKS DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-17",
        "last_updated": "2016-07-17",
        "status": "A",
        "authorized_official_last_name": "AMIR",
        "authorized_official_first_name": "SIMON",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "352-877-4926",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN16267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2016; 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.