Individual provider Active NPI

Asher Adamec, MD, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Jacksonville, FL
National Provider Identifier
1114450269
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DN22654 Issued in FL
Practice address
3007 Hartley Rd
Jacksonville, FL 32257-6201
Phone
(904) 886-4558
NPI assigned
Apr 5, 2017
Last updated
Aug 7, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DN22654 FL Primary

Addresses

Primary practice location

3007 Hartley Rd
Jacksonville, FL 32257-6201

Mailing address

3007 Hartley Rd
Jacksonville, FL 32257-6201
Phone (904) 886-4558

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 18, 2024 through Jul 18, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DN22654FLMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
North Florida Oral & Facial Surgery, P.a. Oral and Maxillofacial Surgery CurrentSince Apr 28, 2024 Accepting new patients

Locations

11481 Old St Augustine Rd
Ste 203
Jacksonville, FL 32258
Phone (904) 309-5651

3007 Hartley Rd
Jacksonville, FL 32257
Phone (904) 737-3617

Interoperability endpoints

  • Direct secure messaging: aadamec744084@direct.shands.ufl.edu

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1491350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1114450269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3007 HARTLEY RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322576201",
            "telephone_number": "904-886-4558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3007 HARTLEY RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322576201",
            "telephone_number": "904-886-4558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMEC",
        "first_name": "ASHER",
        "credential": "MD, DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-05",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN22654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.