Active NPI
Nikki Darbani, DDS
- Pediatric Dentistry
- Orange Park, FL
National Provider Identifier
1083136295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 1728
- Practice address
- 1584 Kingsley Avenue
Suite 1
Orange Park, FL 32073-4502 - Phone
- (904) 264-5437
- Fax
- (904) 485-8417
- NPI assigned
- Jul 10, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 1728 | FL | Primary |
Addresses
Primary practice location
1584 Kingsley Avenue
Suite 1
Orange Park, FL 32073-4502
Mailing address
3020 Hartley Rd
Suite #210
Jacksonville, FL 32257-8206
Phone (904) 264-5437
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 |
|---|---|---|---|
| 1728 | FL | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colorado Comfort Kids Dentistry PLLC | Pediatric Dentistry | Current | Accepting new patients |
| Gerald K. Weaver, D.M.D. and Michael Stratton, D.M.D., Pediatric Denti | Pediatric Dentistry | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatric Dentistry
- Thornton, CO
- NPI 1063105088
-
- Pediatric Dentistry
- Orange Park, FL
- NPI 1083048011
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599004800000",
"number": "1083136295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3020 HARTLEY RD",
"address_2": "SUITE #210",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322578206",
"telephone_number": "904-264-5437",
"fax_number": "904-485-8417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1584 KINGSLEY AVENUE",
"address_2": "SUITE 1",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320734502",
"telephone_number": "904-264-5437",
"fax_number": "904-485-8417"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DARBANI",
"first_name": "NIKKI",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-10",
"last_updated": "2020-09-02",
"certification_date": "2020-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "FL",
"license": "1728",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orange Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.