Jose Viana Paiva Jr., D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN18971 Issued in FL

Practice address

2309A Saint Andrews Blvd
Panama City, FL 32405-2173

Phone

(850) 763-5858

NPI assigned

Feb 26, 2009

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1235606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555545600000",
    "number": "1104066448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2309A SAINT ANDREWS BLVD",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324052173",
            "telephone_number": "850-763-5858",
            "fax_number": "850-763-7125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2309A SAINT ANDREWS BLVD",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324052173",
            "telephone_number": "850-763-5858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAIVA",
        "first_name": "JOSE",
        "middle_name": "VIANA",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-26",
        "last_updated": "2019-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "FL",
            "license": "DN18971",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN18971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• April L Page, APRN FNP-BC
• Brian Page
• Nia Page, LMHC
• Colleen Rose Pagoada, APRN, PMHNP-BC
• Pain Clinic of Northwest FL Inc
• Luz Maria Palacio, OTR/L
• Sophie Claire Palermo
• Barry Palizzi, D.O.
• Palmer Medical Supplies, Inc
• Sandra H Palmer, ARNP-C

• General Practice Dentistry in Panama City, FL
• Providers in Panama City, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2019; 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.