Deerwood Dental Group

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

DEERWOOD DENTAL GROUP

Practice address

8354 Baymeadows Rd
Jacksonville, FL 32256-7433

Phone

(904) 737-7436

Fax

(904) 737-6968

NPI assigned

Jan 13, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Amy McMahan, DDSNPI 1215138680

Title

Owner/Dentist

Phone

(904) 737-7436

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amy Frances McMahan, D.D.S.

  • Dentist
  • Fernandina Beach, FL
  • NPI 1215138680
  NPD (past) Authorized official

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

{
    "created_epoch": "1452643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452643200000",
    "number": "1033575584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8354 BAYMEADOWS RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322567433",
            "telephone_number": "904-737-7436",
            "fax_number": "904-737-6968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8354 BAYMEADOWS RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322567433",
            "telephone_number": "904-737-7436",
            "fax_number": "904-737-6968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEERWOOD DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-13",
        "last_updated": "2016-01-13",
        "status": "A",
        "authorized_official_last_name": "MCMAHAN",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "904-737-7436",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haley Deegan
• Malu Deegan, LM CPM
• Hugh Deen, MD
• Deena S. Richman PHD PA
• Deep Beauty LLC (Accessible Home Care Jacksonville)
• Deerwood Lake Chiropractic
• Deborah L Dees, MA, CCC-SLP
• Nina Lynne Deese, BCBA
• Jessica Defazio, PA-C
• Michael Vincent Defazio, MD

• Dentist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.