Active NPI
Maria Zita Narvaez, D.D.S
- Dentist
- St Augustine, FL
National Provider Identifier
1053578690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 13476
- Practice address
- 303A Anastasia Blvd
St Augustine, FL 32080-4506 - Phone
- (904) 810-2320
- NPI assigned
- May 21, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | 13476 | FL | Primary |
Addresses
Primary practice location
303A Anastasia Blvd
St Augustine, FL 32080-4506
Mailing address
303A Anastasia Blvd
St Augustine, FL 32080-4506
Phone (904) 810-2320
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 |
|---|---|---|---|
| 13476 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258588800000",
"number": "1053578690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303A ANASTASIA BLVD",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320804506",
"telephone_number": "904-810-2320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303A ANASTASIA BLVD",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320804506",
"telephone_number": "904-810-2320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NARVAEZ",
"first_name": "MARIA",
"middle_name": "ZITA",
"name_prefix": "Mrs.",
"credential": "D.D.S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-21",
"last_updated": "2009-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "13476",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Augustine, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.