J Greg Dent M D & Associates P L

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME71168 Issued in FL

Legal business name

J GREG DENT M D & ASSOCIATES P L

Practice address

400 Health Park Blvd
St Augustine, FL 32086-5784

Phone

(904) 819-4565

Fax

(904) 819-4999

NPI assigned

Jun 22, 2006

Last updated

Jun 21, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. James Gregory Dent, MDNPI 1073563110

Title

Managing Member

Phone

(904) 819-4565

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James Gregory Dent, MD

  • Psychiatry Physician
  • St Augustine, FL
  • NPI 1073563110
  Authorized official Same address or phone

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371772800000",
    "number": "1083650576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 HEALTH PARK BLVD",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320865784",
            "telephone_number": "904-819-4565",
            "fax_number": "904-819-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 HEALTH PARK BLVD",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320865784",
            "telephone_number": "904-819-4565",
            "fax_number": "904-819-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J GREG DENT M D & ASSOCIATES P L",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2013-06-21",
        "status": "A",
        "authorized_official_last_name": "DENT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "GREGORY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "904-819-4565",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME71168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSF GRP",
            "identifier": "94842",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "267927200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Arlyn Rivera Jackson, MPT
• Deborah A Jackson, PHD,PT, OCS,CMP, ATC
• Julia Elaine Jackson
• Mark F Jackson, M.D.

• Psychiatry Physician in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2013; 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.