Dr Stuart Kimmel DDS PA

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DN4620 Issued in FL

Legal business name

DR STUART KIMMEL DDS PA

Practice address

1915 N Third Street
Jacksonville Beach, FL 32250

Phone

(904) 249-0037

Fax

(904) 247-0140

NPI assigned

Dec 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Stuart Kimmel, DDS

Title

Orthodontist

Phone

(904) 249-0037

Specialties & licenses 1

Addresses

Other names 1

• The Brace Place Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joshua Leo Goldknopf, D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Jacksonville Beach, FL
  • NPI 1073760658
  NPD (past)

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244505600000",
    "number": "1124182696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 N THIRD STREET",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "32250",
            "telephone_number": "904-249-0037",
            "fax_number": "904-247-0140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 N THIRD STREET",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "32250",
            "telephone_number": "904-249-0037",
            "fax_number": "904-247-0140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR STUART KIMMEL DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2009-06-09",
        "status": "A",
        "authorized_official_last_name": "KIMMEL",
        "authorized_official_first_name": "STUART",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "904-249-0037",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "DN4620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Brace Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jenny R Donachie, PT
• Katherine Margaret Dorsey, DNP, FNP-C, APRN
• Kathleen Dougherty
• Jennifer Dowling, LMHC
• Kristin Mary Doyle, APRN
• Dr. Anthony L. Capasso M. D.
• Dr. Janet Fienemann
• Dr. Kathryn Esquer, LLC
• Sarah Sevier Drew, PH.D.
• Samantha K Droogsma, M.S. CCC-SLP

• Orthodontics and Dentofacial Orthopedics Dentistry in Jacksonville Beach, FL
• Providers in Jacksonville Beach, FL by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2009; 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.