Ortho 99 Plus 1 Beach LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

ORTHO 99 PLUS 1 BEACH LLC

Practice address

14333 Beach Blvd Ste 19
Jacksonville, FL 32250-1587

Phone

(904) 619-7140

NPI assigned

Aug 3, 2023

Last updated

Aug 3, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Justin McDaniel, DMDNPI 1285038786

Title

Owner

Phone

(352) 494-2676

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Justin McDaniel, MSD, DMD, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Jacksonville, FL
  • NPI 1285038786
  NPD Authorized official

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

{
    "created_epoch": "1691020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691020800000",
    "number": "1144902719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14536 PLUMOSA DR",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322502222",
            "telephone_number": "352-494-2676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14333 BEACH BLVD STE 19",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322501587",
            "telephone_number": "904-619-7140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHO 99 PLUS 1 BEACH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-03",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A",
        "authorized_official_last_name": "MCDANIEL",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-494-2676",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luis Ortega, MD
• Naila Ortega, D.D.S
• Samantha Lynn Ortego, LMHC
• Ortho 99 Plus 1
• Ortho 99 Plus 1 Bartram Park LLC
• Ortho One
• Ortho One Jacksonville
• Ortho Sport & Spine Physicians of Florida, LLC
• Ortho Sport and Spine Physicians Jacksonville
• Orthodontic Options, LLC

• Orthodontics and Dentofacial Orthopedics Dentistry in Jacksonville, FL
• Providers in Jacksonville, 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 Aug 3, 2023; 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.