Denise M. Six, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN 21922 Issued in FL

Practice address

10095 Beach Blvd Ste 150
Jacksonville, FL 32246-4774

Phone

(904) 647-2050

NPI assigned

Jun 24, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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

State licenses

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

{
    "created_epoch": "1466726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466726400000",
    "number": "1104277722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10095 BEACH BLVD STE 150",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322464774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10095 BEACH BLVD STE 150",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322464774",
            "telephone_number": "904-647-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIX",
        "first_name": "DENISE",
        "middle_name": "M.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-24",
        "last_updated": "2016-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 21922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Makhya Sistrunk
• Ernisha M Sistrunk, BCABA
• Krista Rae Sitler, ATC
• Rex Kamlung Siu, MD
• Sivanta J Paul MD PA
• Zachary Aaron Six
• Nayade Sizemore
• Sule Sizemore, PA
• Sizewise Rentals LLC
• Elizabeth Sizler, LCSW

• General Practice Dentistry in Jacksonville, FL
• Providers in Jacksonville, 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 Jun 24, 2016; 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.