Active NPI
Imray & Gesek DMD PA
- Dentist
- Jacksonville, FL
National Provider Identifier
1114065133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN 0013575
- Legal business name
- IMRAY & GESEK DMD PA
- Practice address
- 2047 Park St
Jacksonville, FL 32204-3809 - Phone
- (904) 388-7665
- Fax
- (904) 388-7664
- NPI assigned
- Feb 2, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Daniel James Gesek Jr., DMD
- Title
- Owner
- Phone
- (904) 388-7665
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN 0013575 | FL | Primary |
Addresses
Primary practice location
2047 Park St
Jacksonville, FL 32204-3809
Mailing address
2047 Park St
Jacksonville, FL 32204-3809
Phone (904) 388-7665
National Provider Directory
National Provider DirectoryLocations
1409 Kingsley Ave
Ste 5
Orange Park, FL 32073
Phone (904) 264-7383
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Oral and Maxillofacial Surgery (Dentist)
- Jacksonville, FL
- NPI 1831129774
-
- Oral and Maxillofacial Pathology Dentistry
- Orange Park, FL
- NPI 1881750974
-
- Oral & Maxillofacial Surgery (D.M.D.)
- Jacksonville, FL
- NPI 1831353747
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170374400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1114065133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2047 PARK ST",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322043809",
"telephone_number": "904-388-7665",
"fax_number": "904-388-7664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2047 PARK ST",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322043809",
"telephone_number": "904-388-7665",
"fax_number": "904-388-7664"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IMRAY & GESEK DMD PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-02",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GESEK",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "904-388-7665",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "FL",
"license": "DN 0013575",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.