Individual provider Active NPI

Nikki Darbani, DDS

  • Pediatric Dentistry
  • Orange Park, FL
National Provider Identifier
1083136295
Registry record updated Sep 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
1728 Issued in FL
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

Updated by the provider on Sep 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
1728FLMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew 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 PastSince Sep 6, 2020 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.

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.

Verify at the official NPI Registry.