Active NPI
Victor Erminy, DDS
- Dentist
- Fleming Island, FL
National Provider Identifier
1083052989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 30024586
- Practice address
- 4689 Hwy 17 # 6
Fleming Island, FL 32003-6640 - Phone
- (216) 681-9345
- NPI assigned
- Jun 13, 2013
- Last updated
- Jul 31, 2023
- Sex
- Male
- 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 | 30024586 | OH | Primary |
Addresses
Primary practice location
4689 Hwy 17 # 6
Fleming Island, FL 32003-6640
Mailing address
10297 Innovation Way
Jacksonville, FL 32256-8030
Phone (216) 681-9345
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30024586 | OH | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690761600000",
"number": "1083052989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10297 INNOVATION WAY",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322568030",
"telephone_number": "216-681-9345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4689 HWY 17 # 6",
"city": "FLEMING ISLAND",
"state": "FL",
"postal_code": "320036640",
"telephone_number": "216-681-9345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERMINY",
"first_name": "VICTOR",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-06-13",
"last_updated": "2023-07-31",
"certification_date": "2023-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "30024586",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fleming Island, FL
- Christina Eaton, RBT
- Firas El Sabbagh, MD
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- Emdr Trauma Therapy Center LLC
- Emergency Physicians Inc (Emergency Resources Group)
- Emily J Ernst, DPM
- Corina Jovita Rodriguez Espejo, M.S. CCC-SLP
- Ibrahim Fahdi, MD
- Family Care Partners of Northeast Florida LLC
- Lori Featheringill, LMHC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.