Lysandro Ordonez Tapnio, DMD, PA

Primary specialty

DentistTaxonomy code 122300000X

License

10175 Issued in FL

Practice address

9272 Arlington Expressway
Jacksonville, FL 32225

Phone

(904) 641-0944

Fax

(904) 642-2999

NPI assigned

May 5, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Lysandro O. Tapnio DMD PA

  dba Beacon Family Dentistry

  • Preferred Provider Organization
  • Jacksonville, FL
  • NPI 1609241918
  NPD (past)
• Lysandro O. Tapnio DMD PA

  dba Beacon Family Dentistry

  • Customized Equipment (DME)
  • Jacksonville, FL
  • NPI 1750640686

  Dentist

  NPD (past)

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

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563753600000",
    "number": "1083880660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9272 ARLINGTON EXPRESSWAY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32225",
            "telephone_number": "904-641-0944",
            "fax_number": "904-642-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9272 ARLINGTON EXPRESSWAY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32225",
            "telephone_number": "904-641-0944",
            "fax_number": "904-642-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAPNIO",
        "first_name": "LYSANDRO",
        "middle_name": "ORDONEZ",
        "name_prefix": "Mr.",
        "credential": "DMD, PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-05",
        "last_updated": "2019-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN10175",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "10175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Durrett Tanzler, M.D.
• Shengzhen Tao, PHD
• Taolin C Jen MD PA
• Taolin C Jen MD PA
• Maria R. Tapia, PH.D
• Sarah Colleen Tapscott, DNP, APRN, FNP-BC
• Erica Tarbox, M.D.
• Grant Tarbox, D.O.
• Brian D Tardif, PA
• Irina Tardif

• Dentist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.